Treatment of intraventricular hemorrhage and hydrocephalus

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 prospectiv...

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Bibliographic Details
Published inNervenarzt Vol. 79; no. 12; p. 1369
Main Authors Huttner, H B, Staykov, D, Bardutzky, J, Nimsky, C, Richter, G, Doerfler, A, Schwab, S
Format Journal Article
LanguageGerman
Published Germany 01.12.2008
Subjects
Drainage
Humans
Hydrocephalus - diagnosis
Hydrocephalus - etiology
Hydrocephalus - therapy
Intracranial Hemorrhages - diagnosis
Intracranial Hemorrhages - etiology
Intracranial Hemorrhages - therapy
Prognosis
Spinal Puncture
Thrombolytic Therapy
Tomography, X-Ray Computed
Ventriculostomy
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Summary: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.
ISSN:0028-2804
DOI:10.1007/s00115-008-2515-1