Direct Removal of Fourth Ventricle Hematoma in Massive Intraventricular Hemorrhage

Various grading systems and surgical techniques have been developed for the treatment of intraventricular hemorrhage (IVH); however, little attention has been paid to the fourth ventricle hematoma. Nonetheless, hemorrhagic dilation of the fourth ventricle may lead to catastrophic consequences for pa...

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Published inJournal of Korean Neurosurgical Society Vol. 65; no. 2; pp. 325 - 330
Main Authors Kim, You-Sub, Ryu, Han-Seung, Kim, Tae-Sun, Joo, Sung-Pil
Format Journal Article
LanguageKorean
Published 2022
Subjects
Fourth ventricle
Brain stem
Craniotomy
Intraventricular hemorrhage
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Summary:Various grading systems and surgical techniques have been developed for the treatment of intraventricular hemorrhage (IVH); however, little attention has been paid to the fourth ventricle hematoma. Nonetheless, hemorrhagic dilation of the fourth ventricle may lead to catastrophic consequences for patients with massive IVH. We present two cases of massive IVH accompanied by massive fourth ventricle hematoma which was successfully removed with combination of suboccipital craniotomy for fourth ventricle hematoma and intraventricular fibrinolysis for supratentorial hematoma.
Bibliography:KISTI1.1003/JNL.JAKO202209748289302
ISSN:2005-3711
1598-7876