Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage

Methods: We have treated 16 patients with massive IVH with endoscopic washout as per study protocol to address all the undesired sequelae caused by IVH. 23 patients of the same disease were treated via external ventricular drainage. Results: All patients treated with endoscopic washout recovered we...

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Main Author:	A/L Johnson, Jason Raj
Format:	Thesis
Language:	English
Published:	2015
Subjects:	RC31-1245 Internal medicine
Online Access:	http://eprints.usm.my/40321/1/Dr._Jason_Raj_al_Johnson_Kovilpillai_%28Neurosurgery%29-24_pages.pdf
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spelling	my-usm-ep.403212020-03-23T05:08:49Z Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage 2015 A/L Johnson, Jason Raj RC31-1245 Internal medicine Methods: We have treated 16 patients with massive IVH with endoscopic washout as per study protocol to address all the undesired sequelae caused by IVH. 23 patients of the same disease were treated via external ventricular drainage. Results: All patients treated with endoscopic washout recovered well and only 3 patients required further shunt surgery at 3 months duration. There is significant difference in the shunt dependency between both control and intervention group (p-0.004). The duration of weaning of the external ventricular catheter is significantly shorter in the endoscopic washout group (p-0.007) and the Graeb score reduction is significantly more in the endoscopic washout group (p-0.001). Conclusions: Good outcomes obtained from endoscopic washout for massive intraventricular haemorrhage may be related to early removal of hematomas, creation of new cerebrospinal diversion pathway, coupled with early weaning from external ventricular drain and ventilator. The use of neuroendoscopy in patients with massive IVH has significantly reduced the drainage dependency and therefore all shunt related complications are also avoided. 2015 Thesis http://eprints.usm.my/40321/ http://eprints.usm.my/40321/1/Dr._Jason_Raj_al_Johnson_Kovilpillai_%28Neurosurgery%29-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC31-1245 Internal medicine
spellingShingle	RC31-1245 Internal medicine A/L Johnson, Jason Raj Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage
description	Methods: We have treated 16 patients with massive IVH with endoscopic washout as per study protocol to address all the undesired sequelae caused by IVH. 23 patients of the same disease were treated via external ventricular drainage. Results: All patients treated with endoscopic washout recovered well and only 3 patients required further shunt surgery at 3 months duration. There is significant difference in the shunt dependency between both control and intervention group (p-0.004). The duration of weaning of the external ventricular catheter is significantly shorter in the endoscopic washout group (p-0.007) and the Graeb score reduction is significantly more in the endoscopic washout group (p-0.001). Conclusions: Good outcomes obtained from endoscopic washout for massive intraventricular haemorrhage may be related to early removal of hematomas, creation of new cerebrospinal diversion pathway, coupled with early weaning from external ventricular drain and ventilator. The use of neuroendoscopy in patients with massive IVH has significantly reduced the drainage dependency and therefore all shunt related complications are also avoided.
format	Thesis
qualification_level	Master's degree
author	A/L Johnson, Jason Raj
author_facet	A/L Johnson, Jason Raj
author_sort	A/L Johnson, Jason Raj
title	Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage
title_short	Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage
title_full	Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage
title_fullStr	Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage
title_full_unstemmed	Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage
title_sort	prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2015
url	http://eprints.usm.my/40321/1/Dr._Jason_Raj_al_Johnson_Kovilpillai_%28Neurosurgery%29-24_pages.pdf
_version_	1747820790273802240

Prevalence of shunt dependence and clinical outcome in patients with massive intraventricular haemorrhage treated via endoscopic washout versus external ventricular drainage

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