Article Sidebar

pdf
Date Published: 30/08/2023
Abstract Views: 719
Views pdf: 206
DOI: https://doi.org/10.51298/vmj.v529i1B.6330
Issue
Vol. 529 No. 1B (2023)
Section
Các bài báo
How to Cite
Nguyễn, D. P., Trần, A. T., & Lê, A. K. (2023). THE RESULT OF EXTERNAL VENTRICULAR DRAINAGE SURGERY IN THE TREATMENT FOR HYDROCEPHALUS PATIENTS DUE TO ANEURYSMAL SUBARANOID HEMORRHAGE. Vietnam Medical Journal, 529(1B). https://doi.org/10.51298/vmj.v529i1B.6330

THE RESULT OF EXTERNAL VENTRICULAR DRAINAGE SURGERY IN THE TREATMENT FOR HYDROCEPHALUS PATIENTS DUE TO ANEURYSMAL SUBARANOID HEMORRHAGE

Duy Phương Nguyễn1,, Anh Thông Trần2, Anh Khoa Lê2
1 Pham Ngoc Thach University of Medicine
2 Nguyen Tri Phuong Hospital

Main Article Content

Abstract

Objectives: Clinical and radiological features of hydrocephalus patient due to aneurysmal subaranoid hemorrhage as well as evaluate efficacy and safety of external ventricular drainage (EVD) surgery in the treatment of acute hydrocephalus condition. Subject and method: A cross-sectional retrospective descriptive study conducted 12 acute hydrocephalus patients due to aneurysmal subaranoid hemorrhage taken EVD surgery from 12/2020 to 09/2022 at Nguyen Tri Phuong hospital. Results: The proportion of 9.92% acute hydrocephalus patient followed by subaranoid hemorrhage due to ruptured aneurysms. The average age of patients in this research was 59,75. Acute hydocephalus due to aneurysmal subaranoid hemorrhage clearly decreased neurological status and EVD surgery improved this condition. The duration of EVD was 8.5 days. The meningitis proportion among these patients was 33.3%. There was 1 case of parenchymal hemorrhage due to EVD but no surgery was performed to resolve it because of small size of parenchymal hemorrhage. Shunt-dependent propotion was 41.7%. Conclusion: External ventricular drainage surgery is highly effect and safe for acute hydrocephalus patients due to aneurysmal subaranoid hemorrage.

Article Details

Keywords

Acute hydrocephalus, aneurysmal subaranoid hemorrhage, external ventricular drainage surgery.

References

1. Sabnis, Saniya S., et al. (2020), "Risk Factors Associated with External Ventricular Drain Associated Infections", American Journal of Infection Control. 48(8, Supplement), p. S34.
2. Suarez-Rivera, Oscar (1998), "Acute Hydrocephalus After Subarachnoid Hemorrhage", Surgical Neurology. 49(5), pp. 563-565.
3. Bae, I. S., et al. (2021), "Modified Glasgow coma scale for predicting outcome after subarachnoid hemorrhage surgery", Medicine (Baltimore). 100(19), p. e25815.
4. Chen, S., et al. (2017), "Hydrocephalus after Subarachnoid Hemorrhage: Pathophysiology, Diagnosis, and Treatment", Biomed Res Int. 2017, p. 8584753.
5. Chung, D. Y., Mayer, S. A., and Rordorf, G. A. (2018), "External Ventricular Drains After Subarachnoid Hemorrhage: Is Less More?", Neurocrit Care. 28(2), pp. 157-161.
6. Javadpour, M. and Silver, N. (2009), "Subarachnoid haemorrhage (spontaneous aneurysmal)", BMJ Clin Evid. 2009.
7. Kwon, J. H., et al. (2008), "Predisposing factors related to shunt-dependent chronic hydrocephalus after aneurysmal subarachnoid hemorrhage", J Korean Neurosurg Soc. 43(4), pp. 177-81.
8. Rao, S. S., et al. (2019), "Intermittent CSF drainage and rapid EVD weaning approach after subarachnoid hemorrhage: association with fewer VP shunts and shorter length of stay", J Neurosurg. 132(5), pp. 1583-1588.