Neurology · 1998 · 158 citations · 0 references
MedicineNeurologyNeurosurgeryCerebrovascular NeurosurgeryNeurocritical CareNeurological Critical CareHydrocephalus ManagementIntracerebral HemorrhageIntracranial HypertensionIntracranial PressureIntracranial Pressure ManagementIntracranial Pressure MonitoringGlasgow Coma Scale AssessmentGlasgow Coma Scale PrognosticationIncreased Intracranial PressureIntracerebral Hemorrhage Intracranial Pressure ManagementIntracerebral Hemorrhage MonitoringIntracranial Pressure DynamicsIntraventricular Hemorrhage-associated HydrocephalusSubarachnoid Hemorrhage-associated Hydrocephalus
We retrospectively reviewed consecutive intensive care unit patients with spontaneous supratentorial intracerebral hemorrhage (i.c.h.) and hydrocephalus who were treated with ventriculostomy to determine intracranial pressure (i.c.p.), Glasgow Coma Scale (GCS) score, and ventricular volume before and after ventriculostomy. Of 22 patients studied, ICP was controlled at < 20 mm Hg in 20. Only one patient had an improvement in both hydrocephalus and GCS. The three patients who survived to 3 months (modified Rankin scores of 0, 0, and 1) were characterized by very small ICH volumes and stable or improving hydrocephalus and GCS.