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Endoscopic surgery for intraventricular hemorrhage:A comparative study and single center surgical experience

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World Journal of Clinical Cases 2022年第16期10卷 5208-5216页

作者： Feng-Bo Wang Xiao-Wa Yuan Jin-Xiao Li Ming Zhang Zhao-Hui Xiang Department of Neurosurgery Xinyi People's HospitalXinyi 221400Jiangsu ProvinceChina

BACKGROUND intraventricular hemorrhage is a neurosurgical emergency,and a dangerous condition associated with high morbidity and ***,hematoma evacuation is generally executed by external intracranial drainage(EVD)or surgical ***,endoscopic evacuation is emerging as a good alternative because it brings relatively less invasion and ***,successful endoscopic evacuation requires skilled manipulation of endoscopic devices and the evidence supporting its efficacy differs in different *** To improve the technique usage and provide more evidence of endoscopic evacuation efficacy,we summarize our surgical experience and compared the outcomes of the endoscopic evacuation with EVD using real-world *** We retrospectively studied 96 consecutive patients with intraventricular hemorrhage who underwent either endoscopic surgery(n=43)or non-endoscopic surgery(n=53)for hemorrhage evacuation between November 2013 and September 2019 in our ***’conditions prior to and after the operation were evaluated and analyzed to assess the efficacy of the *** consciousness status improvement and perioperative in-hospital parameters in the two types of operation groups were assessed and *** Patients in the endoscopic and non-endoscopic groups presented with a similar state of consciousness,with a comparable Glasgow Coma Scale(GCS)*** average operation time of the endoscopic group was longer than that of the nonendoscopic group(median 2.42 h vs 1.08 h,Phemorrhage than the non-endoscopic group(Graeb median:Endoscopic group=9 vs non-endoscopic group=8,P=0.023),the clearance rate of hematoma was as high as 60.5%.Both the endoscopic and non-endoscopic groups showed an improved GCS index after ***,this improvement was more marked in patients in the endoscopic group(median improvement of G

关键词： Ventriculoscope intraventricular hemorrhage Minimal invasion Ventricular irrigation fluid Endoscopic evacuation Efficacy

Interobserver reliability between pediatric radiologists and residents in ultrasound evaluation of intraventricular hemorrhage in premature infants

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World Journal of Radiology 2022年第11期14卷 367-374页

作者： Muhammad Danish Barakzai Ayimen Khalid Zara Za Sheer Faheemullah Khan Naila Nadeem Noman Khan Kiran Hilal Department of Radiology The Hospital for Sick ChildrenToronto 555Canada Department of Radiology Aga Khan University HospitalKarachi 74800Pakistan Community Health Sciences Aga Khan University HospitalKarachi 74800Pakistan

BACKGROUND Germinal matrix intraventricular hemorrhage(IVH)may contribute to significant morbidity and mortality in premature *** identification and grading of IVH affect decision-making and clinical *** is possibility of misinterpretation of the ultrasound appearances,and the interobserver variability has not been investigated between radiology resident and board-certified *** To assess interobserver reliability between senior radiology residents performing bedside cranial ultrasound during on-call hours and pediatric *** From June 2018 to June 2020,neonatal cranial ultrasound examinations were performed in neonatal intensive care *** findings were recorded by the residents performing the ultrasound and the pediatric attending *** In total,200 neonates were included in the study,with a mean gestational age of 30.9 *** agreement for higher grade(Grade III&IV)IVH was *** was substantial agreement for lower grade(Grade I&II)*** There is strong agreement between radiology residents and pediatric radiologists,which is higher for high grade IVHs.

关键词： Ultrasound head Neonatal cranial ultrasound Cranial ultrasound intraventricular hemorrhage Neonatal intraventricular hemorrhage

Aneurysmal isolated intracerebral hemorrhage and/or intraventricular hemorrhage without subarachnoid hemorrhage: a rare and perplexing scenario in neurosurgical practice

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Chinese Neurosurgical Journal 2016年第3期2卷 -页

作者： Guichen Li Xiaobo Zhu Yang Zhang Jinchuan Zhao Xianfeng Gao Kun Hou Department of Neurology The First Hospital of Jilin University Jilin China Department of Neurosurgery The First Hospital of Jilin University JilinChina

Ruptured aneurysms with a presentation of intracerebral hemorrhage (ICH) and/or intraventricular hemorrhage (IVH) without subarachnoid hemorrhage (SAH) are rarely reported. Issues on the clinical characteristics, mechanism, diagnosis, treatment and prognosis of this rare entity are obscure to us. We present two cases of ruptured aneurysms with a presentation of isolated ICH. A systematic review of the literature was also conducted. There were 21 cases plus our cases. Good recovery was achieved in 10 patients (47.6 %). Pertaining to location, 38 % of presenting aneurysms were on the right side, 52 % were on the left side, and 10 % were midline. Anterior circulation aneurysms were identified in 81 % of patients (7 PComA, 8 MCA, 1 ICA, 1 AComA) and posterior in 19 % of patients (3 PCA, 1 BA). Sizes of the aneurysms ranged from 3 mm to 40 mm (16.21 ± 8.45). Ruptured aneurysms at the main trunks of the Willis cycle with a presentation of isolated ICH and/or IVH without SAH is extremely rare. The cause of this rare entity is multifactorial. The diagnosis and management of this entity pose a great challenge to us. The prognosis was discouraging based on the now available data.

关键词： Ruptured aneurysm Intracerebral hemorrhage intraventricular hemorrhage Subarachnoid hemorrhage

In vivo Detection and Imaging of intraventricular hemorrhage in Neonatal Piglets Using Electrical Impedance Tomography

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Chinese Journal of Biomedical Engineering(English Edition) 2018年第2期27卷 57-67页

作者： LI Yan-dong SHI Xue-tao DAI Meng YOU Fu-sheng XU Can-hua FU Feng LIU Rui-gang WANG Liang GAO Guo-dong DONG Xiu-zhen School of Biomedical Engineering Fourth Military Medical University Department of Neurosurgery Tangdu Hospital Fourth Military Medical University

intraventricular hemorrhage(IVH) is one of the most severe medical emergencies in neurosurgery. Early detection or diagnosis would significantly reduce the rate of disability and mortality, and improve the prognosis of the *** present medical imaging techniques have high sensitivity to identify bleeding, the use of an additional, non-invasive imaging technique capable of continuously monitoring IVH is required to prevent contingent bleeding or re-bleeding. In this study, electrical impedance tomography(EIT) was applied to detect the onset of IVH modeled on 6 piglets in real time, with the subsequent process being monitored continuously. The experimental IVH model was introduced by one-time injection of 2 ml fresh autologous arterial blood into the ventricles of *** showed that resistivity variations within the brain caused by the added blood could be detected and imaged in vivo using the EIT method, and the magnitude and the size of region of interest on EIT images may be linearly associated with the volume of the blood. In conclusion, EIT has unique potential for use in clinical practice to provide invaluable real-time neuroimaging data for IVH after the improvement of electrode design, anisotropic realistic modeling, and instrumentation.

关键词： electrical impedance tomography intraventricular hemorrhage imaging monitor

The effects of lysed erythrocytes on brain injury after intraventricular hemorrhage

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The effects of lysed erythrocytes on brain injury after Int...

Neuroendoscopy Combined with Lateral Ventricle Drainage and Urokinase Infusion in the Treatment of 20 Patients with Hypertensive intraventricular hemorrhage

2011中华医学会神经外科学学术会议

作者： Chao Gao1 Ya Hua2 Guohua Xi2 1.Department of Neurosurgery, Huashan hospital, Fudan University 2.Department of Neurosurgery, University of Michigan

Background and purpose intraventricular hemorrhage (IVH) occurs in up to 50% of patients with primary intracerebral hemorrhage (ICH) and 45% of patients with aneurysmal subarachnoid hemorrhage (SAH). The current resea... 详细信息

关键词： intraventricular hemorrhage deferoxamine hydrocephalus acute brain injury erythrocyte lysis iron

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Journal of Cerebrovascular Disease 2020年第2期3卷 10-14页

作者： Guo-Dong Qian Xiao-Xu Shen Jian Xu Wei-Hua Xu Dong Zhao Yang Wang Qi Liu Department of Neurosurgery The First Affiliated Hospital of Medical CollegeShihezi UniversityShihezi 832008China

Objective:To explore the clinical efficacy of neuroendoscopy combined with lateral ventricle drainage and urokinase infusion for the treatment of hypertensive intraventricular ***:A retrospective analysis of 20 patients diagnosed with intraventricular hemorrhage between March 2017 and August 2018 at the First Affiliated Hospital of Medical College,Shihezi University(Shiohezi,China)was *** actively treating primary lesions,20 patients with intraventricular hemorrhage were selected and treated using minimally invasive neuroendoscopic removal of intraventricular hematoma combined with lateral ventricular drainage and urokinase perfusion according to each patient’s ***:One day after surgery,head computed tomography examination revealed that>50% of the hematoma in the lateral ventricle was removed in 14 cases,and 20%-50% of the hematoma in the other 6 *** follow-up,13 patients exhibited satisfactory recovery,5 died(3 due to lung infection,1 due to intracranial infection,and 1 due to multiple organ failure),and 2 were in a vegetative ***:Neuroendoscopy should be used as much as possible in treating intraventricular hemorrhage given its advantages of minimal injury,complete removal of hematoma,high safety,and wide clinical applicability.

关键词： Neuroendoscopy intraventricular hemorrhage Lateral ventricle drainage Urokinase perfusion

Aspiration of coagulated hematoma in the third and fourth ventricles via paracele anterior horn puncture

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Chinese Journal of Traumatology 2016年第1期19卷 28-30页

作者： Zhi-Qiang Tao Sheng-Hong Ding Department of Neurosurgery Yiwu Central Hospital Wenzhou Medical College Yiwu 32200 Zhejiang Province China

intraventricular hemorrhage (IVH) is a neurological urgency with a high mortality and unfavorable prognosis. Fast removal of intraventricular blood should be considered as a priority. The current treatments of IVH mainly focus on external ventricular drain and endoscopic aspiration, but neither way can remove the blood in the fourth ventricle easily and relieve the compression of brainstem. Here we report a unique procedure to solve this problem. A 41-year-old male patient who had suffered sudden attack of headache and disturbance of consciousness for 2 h was diagnosed as having high density lesion in the whole ventricular system by computed tomographic (CT) imaging. An emergent bilateral ventriculopuncture and intraventricular hematoma removal under non-line-of-sight was performed immediately; the catheter was extended to the fourth ventricle to maximally remove the hematoma. Postoperative CT scan demonstrated total removal of IVH and no sign of extra brain damage.

关键词： intraventricular hemorrhage Ventriculopuncture Aspiration Non-line-of-sight

High SIOOB levels in cerebrospinal fluid and peripheral blood of patients with acute basal ganglial hemorrhage are associated with poor outcome

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World Journal of Emergency Medicine 2010年第1期1卷 22-31页

作者： Man Huang Xiao-Qiao Dong Yue-Yu Hu Wcn-Hua Yu Zu-Yong Zhang Department of Intensive Care Unit Sir Run Run Shaw Hospital College of Medicine Zhejiang University Hangzhou310016 China Department of Neurosurgery First Hangzhou Municipal People's Hospital 261Huansha Road Hangzhou 310000 China

BACKGROUND:S100B is involved in brain injury. This study aimed to determine plasma and cerebral spinal fluid (CSF) levels of S100B in patients with spontaneous intracerebral hemorrhage (ICH), and to correlate S100B levels with Glasgow Coma Scale (GCS) scores, ICH volumes, presence of intraventricular hemorrhage (IVH), and survival rate, and to correlate CSF S100B levels with plasma S100B levels as well as CSF interleukin-1beta (IL-1β) levels.;METHODS:Ten patients with suspicion of subarachnoid hemorrhage and 38 patients with spontaneous basal ganglia hemorrhage were included in the study. Their plasma and CSF samples were collected. The concentrations of IL-1β in CSF and S100B in plasma and CSF were analyzed by enzyme-linked immunosorbent assay.;RESULTS:Plasma or CSF S100B levels in the ICH group were significantly higher than those in the control group (178.7±74.2 versus 63.2±23.0 pg/ml; P0.05).;CONCLUSIONS:High levels of S100B are present in the cerebrospinal fluid and peripheral blood of patients with ICH and may contribute to the inflammatory processes of ICH. The levels of CSF and plasma S100B after spontaneous onset of ICH seem to correlate with clinical outcome in these patients. Increases in peripheral S100B properly reflect brain injury, and plasma S100B level may serve as a useful clinical marker for evaluating the prognosis

关键词： Brain injury Inflammation Interleukin-1 beta Intracerebral hemorrhage intraventricular hemorrhage Pathogenesis S100B