External ventricular drainage for intraventricular hemorrhage

Curr Neurol Neurosci Rep. 2012 Feb;12(1):24-33. doi: 10.1007/s11910-011-0231-x.


Hemorrhagic stroke accounts for only 10% to 15% of all strokes; however, it is associated with devastating outcomes. Extension of intracranial hemorrhage (ICH) into the ventricles or intraventricular hemorrhage (IVH) has been consistently demonstrated as an independent predictor of poor outcome. In most circumstances the increased intracranial pressure and acute hydrocephalus caused by ICH is managed by placement of an external ventricular drain (EVD). We present a systematic review of the literature on the topic of EVD in the setting of IVH hemorrhage, articulating the scope of the problem and prognostic factors, clinical indications, surgical adjuncts, and other management issues.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Cerebral Hemorrhage / complications
  • Cerebral Hemorrhage / epidemiology
  • Cerebral Hemorrhage / surgery*
  • Cerebral Ventricles / surgery*
  • Drainage / methods*
  • Humans
  • Hydrocephalus / etiology
  • Hydrocephalus / surgery
  • Neurosurgical Procedures / instrumentation
  • Neurosurgical Procedures / methods
  • Postoperative Complications / prevention & control
  • Subarachnoid Hemorrhage / complications
  • Subarachnoid Hemorrhage / epidemiology
  • Subarachnoid Hemorrhage / surgery
  • Treatment Outcome