Advances in surgical treatment of intraventricular hemorrhage

Abstract

Intraventricular hemorrhage (IVH) is a dangerous acute cerebrovascular disease. The 30-day mortality rate of patients with IVH is 5 times that of patients with cerebral hemorrhage. In recent years, more and more studies have shown that timely clearance of intraventricular hematoma is closely related to good prognosis. The advantages of surgical intervention in patient management are impressive. This article briefly reviews the positive advances in the surgical treatment of IVH such as external ventricular drainage (EVD) combined with intraventricular fibrinolysis (IVF) and continuous lumbar cistern drainage (LCD), as well as their safety and efficacy, especially the remarkable role of neuroendoscopy in the removal of intraventricular hematomas.

Keywords

intraventricular hemorrhage (IVH) / cerebrovascular disease / external ventricular drainage (EVD) / intraventricular fibrinolysis (IVF) / ommaya reservoir / neuroendoscopy (NE) / lumbar cistern drainage (LCD) / intracerebral hemorrhage (ICH) / subarachnoid hemorrhage (SAH) / recombinant tissue-plasminogen activator (rt-PA)