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Subject Area

Neurosurgery

Article Type

Original Study

Abstract

Objective: The present study was conducted to evaluate the effect of neuroendoscopic evacuation of intraventricular hematoma (1ry or 2ry).

Background: Intraventricular hemorrhage (IVH) is one of the serious central nervous system hemorrhagic diseases with an acute onset, rapid progress and higher mortality rate up to 80%. With continuous progression of medical science and technology, Neuroendoscopy combined with intraventricular lavage can effectively shorten the operation time with effective hematoma removal and less trauma to the brain.

Patients and Methods: Twenty patients with intraventricular hemorrhage who were admitted to Neurosurgery Department, Menoufia University Hospital during the period between January 2022 and January 2023 were included in this study. They underwent neuroendoscopic hematoma evacuation combined with intraventricular lavage and insertion of external ventricular Drain (EVD). The patients were followed up for 3months postoperatively.

Results: There were 14 males and 6 females. The mean age was 48.13±3.9 years. 35% patients presented by deep coma, 30% presented by impaired consciousness, 20% had manifestations of stroke and 15% presented by severe headache. Predisposing factors included hypertension in 45%, diabetes in 25%, and smoking in 10% and antiplatelet use in 10%. Mean systolic BP was 158.19±28.6 mmHg, mean diastolic BP was 95.22±17mmHg, mean platelet count was 205±71.5/ cc., and the mean international normalized ratio (INR) was 1.02±0.11.

Conclusion: Endoscopic ventricular lavage seems to be an effective method for treating patients with IVH. It can improve the perioperative condition, improve hematoma clearance and improve clinical outcome.

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