Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Direct Removal of Fourth Ventricle Hematoma in Massive Intraventricular Hemorrhage

  • Kim, You-Sub (Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Ryu, Han-Seung (Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Kim, Tae-Sun (Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Joo, Sung-Pil (Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School)
  • Received : 2021.05.21
  • Accepted : 2021.07.20
  • Published : 2022.03.01
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Abstract

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.

Keywords

Acknowledgement

This study was supported by a grant (BCRI20039) of Chonnam National University Hospital Biomedical Research Institute.

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