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Journals / Türk Beyin Damar Hastalıkları Dergisi / 2000 / Cilt: 6 - Sayı: 1

Comparison of treatment protocols in hydrocephalus and drainage dependent pressure elevation after intracranial hemorrhage

İntrakranial hemoraji sonrası hidrosefali ve drenaja bağımlı basınç artışında tedavi şekillerinin karşılaştırılması

Ender KORFALI
Selçuk YILMAZLAR
Murat ULUTAŞ
Pages
1–5
Publication Date
2022-11-04
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Our results indicate that single and short term use of EVD and early VP shunting has low risk of infections.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The effects, complications and outcome of ventricular drainage of cerebrospinal fluid (CSF) on high intracranial pressure and hydrocephalus were analyzed retrospectively in 63 patients with intracranial hemorrhages.
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Key Findings & Data:All patients underwent a procedure for ventricular CSF drainage plus ICP monitoring. 34 patients managed with one external ventricular drainage (EVD) system, 7 patients managed with two EVD system subsequently whereas 22 patients underwent EVD procedure that was followed by permanent ventriculoperitoneal (VP) shunt procedure.
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Conclusion & Impact:Our results indicate that single and short term use of EVD and early VP shunting has low risk of infections.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The effects, complications and outcome of ventricular drainage of cerebrospinal fluid (CSF) on high intracranial pressure and hydrocephalus were analyzed retrospectively in 63 patients with intracranial hemorrhages. All patients underwent a procedure for ventricular CSF drainage plus ICP monitoring. 34 patients managed with one external ventricular drainage (EVD) system, 7 patients managed with two EVD system subsequently whereas 22 patients underwent EVD procedure that was followed by permanent ventriculoperitoneal (VP) shunt procedure. Outcomes at 2 months after hemorrhages were analyzed. Infection rates were 8.8% in one EVD group, 57.1% in two EVD group and 9.1% in EVD-VP shunt group. Mortality rates were 82.4 in one EVD group, 85.7% in two EVD group and 50% in EVD-VP group patients. Our results indicate that single and short term use of EVD and early VP shunting has low risk of infections. Furthermore, it was found that early VP shunting reduces mortality by protecting the brain from irregular CSF hypertension.

Özet

İntrakranial hemorajiye bağlı gelişen hidrosefali ve yüksek intrakranial basınç (İKB) tedavisinde ventriküler drenajın etkisi, komplikasyonları ve sonuçları 63 hastada retrospektif olarak incelendi. Tüm hastalara ventriküler beyin omurilik sıvı (BOS) drenajı ve intrakranial basınç monitorizasyonu (İKB) uygulandı. 34 hastaya tek eksternal ventriküler drenaj (EVD) sistemi, 7 hastaya iki EVD sistemi, 22 hastaya EVD sonrası kalıcı ventriküloperitoneal (VP) şant uygulandı. Kanama sonrası 2 aylık sonuçlar karşılaştırıldı. Enfeksiyon oranları; tek EVD grubunda %8.8, iki EVD grubunda %57.1, EVD-VP şant grubunda %9.1 saptandı. Mortalite oranları; tek EVD grubunda %82.4, iki EVD grubunda %85.7, EVD-VP şant grubunda %50 saptandı. EVD'nin tek ve kısa süreli kullanım ve erken şant uygulamasının enfeksiyon riskini düşürdüğünü gördük. Ayrıca erken VP şant uygulanması beyni düzensiz BOS basıncından koruyarak BOS dolanımının yeniden başlaması için beklemede mortaliteyi azalttığı sonucunu saptadık.

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Cite This Article

KORFALI, E., YILMAZLAR, S., ULUTAŞ, M. (2022). Comparison of treatment protocols in hydrocephalus and drainage dependent pressure elevation after intracranial hemorrhage. Türk Beyin Damar Hastalıkları Dergisi, Cilt: 6 - Sayı: 1, 1–5. https://ajindex.com/articles/620337

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