Hemorrhage Occurred after External Ventricular Drainage in Medulloblastoma.
- Author:
Ho Shin GWAK
1
;
Young Seob CHUNG
;
Kyu Chang WANG
;
Byung Kyu CHO
;
Dae Hee HAN
Author Information
1. Department of Neurosurgery, Seoul National University, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
External ventricular drainage;
Hemorrhage;
Medulloblastoma
- MeSH:
Brain;
Catheters;
Child;
Child, Preschool;
Drainage*;
Drug Therapy;
Female;
Hemorrhage*;
Humans;
Hydrocephalus;
Incidence;
Medulloblastoma*;
Tomography, X-Ray Computed
- From:Journal of Korean Neurosurgical Society
1994;23(4):468-473
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors experienced 2 cases of medulloblastoma in which active hemorrhage occurred after external ventricular drainage(EVD). A 5 year-old girl suffered from cerebellar fit and brain CT scan showed severe hydrocephalus. So EVD was performed and the pressure was measured about 80 cm H2O. After a gradual reduction of EVD pressure for 15 minutes, fresh blood gushed out through the EVD catheter. The other case was a 7 year-old girl whose tumor bled after intraoperative EVD, just before dural incision. Both tumors were highly vascular in operative field. The first case was bed-ridden at 5 months after surgery and the second case was on postoperative chemotherapy in a good general condition with minimal neurological deficits. Previous reports in the literatures including 2 cases of hemorrhage associated with EVD in medulloblastoma were reviewed. The relatively high incidence of tumor hemorrhage in medulloblastoma and its detrimental influence on the outcome are emphasized.
