Treatment of sympathomimetic induced intraventricular hemorrhage with intraventricular urokinase

Ziai, Wendy; Triantaphyllopoulou, Antigone; Razumovsky, Alexander Y.; Hanley, Daniel F.

doi:10.1016/j.jstrokecerebrovasdis.2003.09.011

Cited by 6 publications

(2 citation statements)

References 23 publications

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“…[19][20][21] In our study, fibrinolysis with urokinase was used to accelerate clot dissolution and keep the drainage tube unobstructed. In addition, lumbar puncture or lumbar catheter drainage can be used in patients in stable condition to promote the circulation of CSF and clearance of bloody CSF, thereby reducing hydrocephalus, arachnoid adhesions, cerebral ischemia, cerebral infarction and other delayed complications.…”

Section: Discussionmentioning

confidence: 99%

Rapid Pore Cranial Drilling With External Ventricular Drainage for Treatment of Intraventricular Hemorrhage: A 36-Year Case Series

Zhang

Lin

et al. 2015

International Surgery

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This study aimed to describe the technique details of rapid pore cranial drilling with external ventricular drainage and document its clinical outcomes by highlighting the advantages over the traditional and modified cranial drilling technique. Intraventricular hemorrhage is one of the most severe subtypes of hemorrhagic stroke with high mortality. The amount of blood in the ventricles is associated with severity of outcomes, and fast removal of the blood clot is the key to a good prognosis. Between 1977 and 2013, 3773 patients admitted for intraventricular hemorrhage underwent rapid pore cranial drilling drainage. The therapeutic effects and clinical outcomes were retrospectively analyzed. Of these patients, 1049 (27.8%) experienced complete remission, 1788 (47.4%) had improved condition, and 936 (24.8%) died. A total of 3229 (85.6%) patients gained immediate remission. One typical case was illustrated to demonstrate the efficacy of the rapid pore drilling technique. Rapid pore cranial drilling drainage in patients with intraventricular hemorrhage is fast, effective, and provides immediate relief in patients with severe conditions. It could be a better alternative to the conventional drilling approach for treatment of intraventricular hemorrhage. A randomized controlled trial for direct comparison between the rapid pore cranial drilling drainage and conventional drilling technique is in urgent need.

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Section: Discussionmentioning

confidence: 99%

Rapid Pore Cranial Drilling With External Ventricular Drainage for Treatment of Intraventricular Hemorrhage: A 36-Year Case Series

Zhang

Lin

et al. 2015

International Surgery

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“…Coagulopathies, acquired or inherited, have been reported as causes of primary IVH in adults 6,7,9,[24][25][26][27] The cause also varies by age at presentation, with an overrepresentation of hemostatic disorders in the first year of life, and an increase in the relative prevalence of vascular malformations in teenagers 3,28 Pituitary apoplexy Pituitary apoplexy has been reported as a cause of primary IVH in adults 29 No sufficient information present Vasculitis Vasculitis has been reported as a cause of primary IVH in adults 30 Primary CNS vasculitis and SLE vasculitis have been rarely associated with pICH 31,32 Fibromuscular dysplasia Fibromuscular dysplasia has been reported as a cause of primary IVH in adults 7 Rarely childhood SAH can be associated with fibromuscular dysplasia 33 Sympathomimetic agents Sympathomimetic agents have been reported as a cause of primary IVH in adults 34,35 No sufficient information present…”

Section: Coagulopathiesmentioning

confidence: 99%

Pediatric primary intraventricular hemorrhage: A case report of isolated fourth ventricle hemorrhage in a 10‐year‐old boy

Das,

Bhadran,

Sanker

et al. 2023

Clinical Case Reports

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Key Clinical MessagePrimary intraventricular hemorrhage (PIVH) is a rare condition in pediatric patients, presenting with headache, vomiting, and altered mental status. Surgical interventions, such as external ventricular drain placement, followed by ventriculoperitoneal shunting, show promising outcomes. Further research is needed to enhance understanding and optimize management strategies for pediatric PIVH.AbstractThis case report describes a 10‐year‐old boy with isolated primary intraventricular hemorrhage (PIVH) in the fourth ventricle, shedding light on its clinical presentation and management challenges. The patient presented with headache, vomiting, and altered sensorium, and was subsequently diagnosed with obstructive hydrocephalus due to intraventricular bleeding. Emergency external ventricular drain (EVD) insertion was performed, followed by ventriculoperitoneal shunt placement, resulting in a favorable outcome. The etiology of PIVH in children differs from that in adults, with arteriovenous malformations, Moyamoya disease, and aneurysms being commonly implicated causes. Management strategies for pediatric PIVH are challenging due to limited research, but EVD placement and surgical interventions have shown promise.

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Intraventricular hemorrhage

Ziai¹,

Hanley²

2014

Critical Care of the Stroke Patient

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Treatment of sympathomimetic induced intraventricular hemorrhage with intraventricular urokinase

Cited by 6 publications

References 23 publications

Rapid Pore Cranial Drilling With External Ventricular Drainage for Treatment of Intraventricular Hemorrhage: A 36-Year Case Series

Rapid Pore Cranial Drilling With External Ventricular Drainage for Treatment of Intraventricular Hemorrhage: A 36-Year Case Series

Pediatric primary intraventricular hemorrhage: A case report of isolated fourth ventricle hemorrhage in a 10‐year‐old boy

Intraventricular hemorrhage

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