Craniectomy with external ventricular drainage for large celebellar hemorrhage: A case report

  • Nguyễn Công Thành 108 Military Central Hospital
  • Nguyễn Văn Tuyến 108 Military Central Hospital
  • Nguyễn Mạnh Tuyên 108 Military Central Hospital
  • Nguyễn Hồng Quân 108 Military Central Hospital
  • Lê Đình Toàn 108 Military Central Hospital
  • Hà Mạnh Hùng 108 Military Central Hospital
  • Nguyễn Xuân Tùng 108 Military Central Hospital
  • Nguyễn Thị Tình 108 Military Central Hospital
  • Vũ Trần Bảo Ngọc 108 Military Central Hospital

Main Article Content

Keywords

Cerebellar hemorrhage, brainstem compression, craniectomy, external ventricular, Drainage

Abstract

Cerebellar hemorrhage accounts for 10% of intracranial hemorrhage, it has a mortality rate of
20-75%, it usually occurs in the elderly and is associated with hypertension in most cases. Recommended for hematoma evacuation, decompressive craniectomy with or without EVD for patients with severe cognitive impairment, it caused by brainstem compression and/or hydrocephalus from ventricular obstruction, or have cerebellar hemorrhage volume ≥ 15mL. We report a case of large cerebellar hemorrhage with ventricular obstruction who was treated successfully with decompressive craniectomy, hematoma evacuation, combined with EVD at 108 Military Central Hospital. The purpose of this report to emphasize for a combination of therapeutic measures, and recommendation for the important role of early surgery for improving functional outcome.

Article Details

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