Journal of neurosurgery
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Journal of neurosurgery · Apr 2014
Hemorrhagic complications of ventriculostomy: incidence and predictors in patients with intracerebral hemorrhage.
Ventriculostomy--the placement of an external ventricular drain (EVD)--is a common procedure performed in patients with acute neurological injury. Although generally considered a low-risk intervention, recent studies have cited higher rates of hemorrhagic complications than those previously reported. The authors sought to determine the rate of postventriculostomy hemorrhage in a cohort of patients with intracerebral hemorrhage (ICH) and to identify predictors of hemorrhagic complications of EVD placement. ⋯ Advanced age is predictive of EVD-related hemorrhage in patients with ICH. While postventriculostomy hemorrhage is common, it appears to be of minor clinical significance in the majority of patients.
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Journal of neurosurgery · Apr 2014
Stereotactic radiosurgery for Spetzler-Martin Grade III arteriovenous malformations.
The purpose of this study was to define the outcomes and risks of stereotactic radiosurgery (SRS) for Spetzler-Martin (SM) Grade III arteriovenous malformations (AVMs). ⋯ Treatment with SRS was an effective and relatively safe management option for SM Grade III AVMs. Although patients with residual AVMs remained at risk for hemorrhage during the latency interval, the cumulative 10-year 9% hemorrhage risk in this series may represent a significant reduction compared with the expected natural history.
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Journal of neurosurgery · Apr 2014
Editorial CommentPatient-specific intracranial pressure. Response.