Causes of secondary drainage dependent hydrocephalus after severe intraventricular hemorrhage treated with sequential drainage of ventricles and lumbar cistern
ZHANG Jinning
Abstract：Objective To explore the influential factors of hydrocephalus after sequential external ventricular and lumbar cistern drainage in patients with severe intraventricular hemorrhage.Methods A total of 99 patients with severe intraventricular hemorrhage admitted to the Department of Neurosurgery of Quanzhou First Hospital Affiliated to Fujian Medical University from January 2017 to January 2022 were divided into experimental group(n=33)and control group(n=66)according to their secondary hydrocephalus status.A comparative analysis of the clinical data of the two groups was conducted.Results In the experimental group,patients with higher Graeb score,cerebrospinal fluid drainage speed≤8-10 ml/h and total drainage duration≤7 days,had a higher proportion of hydrocephalus.There was a statistically significant difference(P<0.05).The effective rate of the experimental group was 72.73%,which was significantly lower than that of the control group(88.76%).The difference was statistically significant between the two groups(P<0.05).Conclusions The sequential external ventricular and lumbar cistern drainage are safe and effective in the treatment of severe intraventricular hemorrhage.Higher Graeb score,slower speed of cerebrospinal fluid drainage(8-10 ml/h or less)and less in duration of drainage(7 days or less)were independent risk factors for drainage dependent hydrocephalus secondary to drainage for intraventricular hemorrhage.The incidence of hydrocephalus can be reduced and the prognosis may be improved with the corresponding control of the above risk factors.
Keywords：External ventricular drainageLumbar cistern drainageIntraventricular hemorrhageHydrocephalus
Publication Date：2024-10-09
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 35-38 )