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KMID : 0359819940230040468
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Journal of Korean Neurosurgical Society
1994 Volume.23 No. 4 p.468 ~ p.473
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Hemorrhage Occurred after External Ventricular Drainage in Medulloblastoma
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곽호신
정영섭/왕규창/조병규/한대희
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Abstract
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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 80cm 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.
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KEYWORD
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