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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Bibliographic Details
Published in:Journal of Korean Neurosurgical Society 2022, 65(2), , pp.325-330
Main Authors: Kim, You-Sub, Ryu, Han-Seung, Kim, Tae-Sun, Joo, Sung-Pil
Format: Article
Language:English
Subjects:
Case Report
신경외과학
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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.
ISSN:2005-3711
1598-7876
DOI:10.3340/jkns.2021.0122