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Book

Ventriculostomy

Sunil Munakomi  1 , Joe M. Das  2
In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
.
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Free Books & Documents
Book

Ventriculostomy

Sunil Munakomi et al.
Free Books & Documents

Excerpt

Ventriculostomy is one of the most common emergency-based neurosurgical procedures practitioners undertake globally. Approximately 20,000 patients undergo ventriculostomy annually in the US alone.

Claude-Nicholas Le Cat has been credited for performing the first ventricular puncture. However, poor results made Robert Whytt and Benjamin Hill condemn the same.

In 1941, Ingraham and Campbell incorporated

  1. A closed drainage system

  2. A stopcock for preventing over-drainage

  3. A drip chamber to nullify the backflow of CSF, and

  4. A flexible silicone tube for subcutaneous tunneling.

This helped to resurge and revive the application of the procedure on the global front. Franklin Robinson coupled ventricular pressure monitoring with the drainage procedure. ICP-guided rescue therapy for severe head injury was recommended by the Brain Trauma Foundation (BTF) guidelines in 1995.

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Conflict of interest statement

Disclosure: Sunil Munakomi declares no relevant financial relationships with ineligible companies.

Disclosure: Joe Das declares no relevant financial relationships with ineligible companies.

References

    1. Kohli G, Singh R, Herschman Y, Mammis A. Infection Incidence Associated with External Ventriculostomy Placement: A Comparison of Outcomes in the Emergency Department, Intensive Care Unit, and Operating Room. World Neurosurg. 2018 Feb;110:e135-e140. - PubMed
    1. Sorinola A, Buki A, Sandor J, Czeiter E. Risk Factors of External Ventricular Drain Infection: Proposing a Model for Future Studies. Front Neurol. 2019;10:226. - PMC - PubMed
    1. Chau CYC, Craven CL, Rubiano AM, Adams H, Tülü S, Czosnyka M, Servadei F, Ercole A, Hutchinson PJ, Kolias AG. The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury. J Clin Med. 2019 Sep 10;8(9) - PMC - PubMed
    1. Mortazavi MM, Adeeb N, Griessenauer CJ, Sheikh H, Shahidi S, Tubbs RI, Tubbs RS. The ventricular system of the brain: a comprehensive review of its history, anatomy, histology, embryology, and surgical considerations. Childs Nerv Syst. 2014 Jan;30(1):19-35. - PubMed
    1. Lele AV, Hoefnagel AL, Schloemerkemper N, Wyler DA, Chaikittisilpa N, Vavilala MS, Naik BI, Williams JH, Venkat Raghavan L, Koerner IP, Representing SNACC Task Force for Developing Guidelines for Perioperative Management of External Ventricular and Lumbar Drains Perioperative Management of Adult Patients With External Ventricular and Lumbar Drains: Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care. J Neurosurg Anesthesiol. 2017 Jul;29(3):191-210. - PubMed

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