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http://dx.doi.org/10.3340/jkns.2021.0122

Direct Removal of Fourth Ventricle Hematoma in Massive Intraventricular Hemorrhage  

Kim, You-Sub (Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School)
Ryu, Han-Seung (Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School)
Kim, Tae-Sun (Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School)
Joo, Sung-Pil (Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School)
Publication Information
Journal of Korean Neurosurgical Society / v.65, no.2, 2022 , pp. 325-330 More about this Journal
Abstract
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.
Keywords
Brain stem; Craniotomy; Fourth ventricle; Intraventricular hemorrhage;
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