[Treatment of intraventricular hemorrhage and hydrocephalus]. / Behandlung von intraventrikulären Blutungen und Hydrozephalus.
Nervenarzt
; 79(12): 1369-70, 1372-4, 1376, 2008 Dec.
Article
en De
| MEDLINE
| ID: mdl-18626618
ABSTRACT
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 continuing treatment strategy for persistent malresorptive communicating hydrocephalus using lumbar drainage is described.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hemorragias Intracraneales
/
Hidrocefalia
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
De
Revista:
Nervenarzt
Año:
2008
Tipo del documento:
Article