The ventricular drainage at patients with massive cerebellar ischemic stroke complicated by acute occlusive hydrocephalus
Abstract
Objective. To analyze the effectiveness of ventricular drainage at patients with massive cerebellar ischemic stroke complicated by development of acute occlusive hydrocephalus (AOH). Material and methods. We analyzed the results of examination and treatment of 10 patients with massive cerebellar ischemic stroke. All patients underwent the gradual depression of conscious level because of AOH development. All patients underwent ventricular drainage, among them 8 - external and 2 - ventriculoperitoneal shunt. Decompressive craniotomy of posterior cranial fossa was not performed at any patient. All patients had different level of conscious before operation - from deep stupor to deep coma. Results. The lethality was 40%. The gradual restoration of conscious level was seen at 8 patients during the following day after ventricular drainage, among them 2 patients died from extracranial complications. There was no restoration of conscious level after operation at 2 patients and they died from brain dislocation. Conclusion. The only ventricular drainage is enough for majority of patients with massive cerebellar ischemic stroke complicated with AOH. The decompressive craniotomy of posterior cranial fossa is indicative for patients with no improvement in neurological status during first 24 hours after ventricular drainage. The deep coma is not the contraindication for operation at such patients.
About the Authors
A. S. Nikitin
ГБУЗ «ГКБ №12 ДЗМ»
Russian Federation
Russian Federation
S. A. Burov
ФГКУ «ЦКВГ ФСБ России»
Russian Federation
Russian Federation
S. A. Asratyan
ГБУЗ «ГКБ №12 ДЗМ»
Russian Federation
Russian Federation
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Review
For citations:
Nikitin A.S., Burov S.A., Asratyan S.A. The ventricular drainage at patients with massive cerebellar ischemic stroke complicated by acute occlusive hydrocephalus. Russian journal of neurosurgery. 2015;(3):32-36. (In Russ.)
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