Treatment of intraventricular hemorrhage and hydrocephalus

被引：7

作者：

Huttner, H. B. ^{[1
]}

Staykov, D. ^{[1
]}

Bardutzky, J. ^{[1
]}

Nimsky, C. ^{[2
]}

Richter, G. ^{[3
]}

Doerfler, A. ^{[3
]}

Schwab, S. ^{[1
]}

机构：

[1] Univ Erlangen Nurnberg, Dept Neurol, D-91054 Erlangen, Germany

[2] Univ Erlangen Nurnberg, Dept Neurosurg, D-91054 Erlangen, Germany

[3] Univ Erlangen Nurnberg, Dept Neuroradiol, D-91054 Erlangen, Germany

来源：

NERVENARZT | 2008年 / 79卷 / 12期

关键词：

Intracerebral hemorrhage; Intraventricular hemorrhage; Hydrocephalus; Intraventricular fibrinolysis; Lumbar drainage;

D O I：

10.1007/s00115-008-2515-1

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Most cases of intraventricular hemorrhage (IVH) occur secondary to spontaneous intracerebral or subarachnoid hemorrhage. The main concern is development of hydrocephalus, which is related to a poor prognosis. Over the last years, several treatment options for IVH have been introduced, but prospective data regarding the efficacy of those therapies ( external ventricular drainage, intraventricular fibrinolysis, lumbar drainage, endoscopic hematoma evacuation) do not yet exist. This review focuses on combined therapy using an external ventricular drain and intraventricular fibrinolysis with r-TPA for IVH-associated initial occlusive hydrocephalus. Moreover, a continuative treatment strategy for persistent malresorptive communicating hydrocephalus using lumbar drainage is described.

引用

页码：1369 / +

页数：6

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