Türk Nöroşirürji Dergisi 2019 , Vol 29 , Num 1
Lumbar Puncture or External Ventricular Drainage: Which One is more Useful for the Management of Vasospasm Following Subarachnoid Hemorrhage?
Burcu GÖKER1,Mustafa Kemal HAMAMCIOĞLU1
1İstinye Üniversitesi Tıp Fakültesi, Liv Hospital-Ulus, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye Subarachnoid hemorrhage, which is one of the most important disorders of neurosurgical practice, is mostly caused by rupture of intracranial aneurysms. One of the most important complications waiting for these patients in the days following the subarachnoid hemorrhage is vasospasm. Although the pathogenesis of vasospasm is not precisely determined, it is known that the cause is the reaction of the vessel wall to the products of the destruction of the blood in the subarachnoid space and the treatment takes this into account. Another method in the treatment of vasospasm, which is the cause of late neurological deficits, is the drainage of the bloody cerebrospinal fluid using various techniques. Although this method is still not well supported by the evidence, it is routinely performed by many clinics. This review discusses the contribution of cerebrospinal fluid drainage to the improvement of the vasospasm clinical picture. Anahtar Kelimeler : Subarachnoid hemorrhage, Treatment, Vasospasm, Serial lumbar puncture, Lumbar drainage