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KMID : 1001920220650020325
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Journal of Korean Neurosurgical Society
2022 Volume.65 No. 2 p.325 ~ p.330
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Direct Removal of Fourth Ventricle Hematoma in Massive Intraventricular Hemorrhage
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Kim You-Sub
Ryu Han-Seung
Kim Tae-Sun
Joo Sung-Pil
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Abstract
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Various grading systems and surgical techniques have been developed for the treatment of intraventricular hemorrhage (IVH); however, little attention has been paid to the fourth ventricle hematoma. Nonetheless, hemorrhagic dilation of the fourth ventricle may lead to catastrophic consequences for patients with massive IVH. We present two cases of massive IVH accompanied by massive fourth ventricle hematoma which was successfully removed with combination of suboccipital craniotomy for fourth ventricle hematoma and intraventricular fibrinolysis for supratentorial hematoma.
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KEYWORD
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Brain stem, Craniotomy, Fourth ventricle, Intraventricular hemorrhage
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