Two cases of intraventricular hemorrhage treated by prone position drainage combined with intraventricular infusion of urokinase

Abstract

Intracerebral hemorrhage (ICH) is a common neurosurgical emergency in high mortality. In recent years, stereotactic aspiration and subsequent fibrinolysis has been considered less invasive and more effective compared with the conventional surgical removal of ICH. On this basis, we improved the treatment method and combined it with the mature prone position therapy in ICU. We present two unique cases of intraventricular hemorrhage treated by prone position, radiographic evidence proves its availability and feasibility. Prone positin can liquefy hematoma better, make its density more uniform thus easy to drain. In similar cases of intraventricular hemorrhage, we hypothesize that prone position may offer a greater result of drainage, and should be strongly recommended for treatment.