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

作　　者：Zhi-Qiang Tao Sheng-Hong Ding 

机构地区：[1]Department of Neurosurgery, Yiwu Central Hospital, Wenzhou Medical College, Yiwu 32200, Zhejiang Province, China

出　　处：《Chinese Journal of Traumatology》2016年第1期28-30,共3页中华创伤杂志（英文版）

摘　　要：lntraventricular 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 treat- ments 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 ven- triculopuncture 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：lntraventricular hemorrhage Ventriculopuncture AspirationNon-line-of-sight 

分 类 号：R264[医药卫生—中医外科学]