Tag Archives: hematoma

PUBLISHED: Extraventricular Drainage and Hematoma Evacuation to Treat Hydrocephalus Following Lysis of MCA Embolism

Extraventricular Drainage and Hematoma Evacuation to Treat Hydrocephalus Following Lysis of MCA Embolism
Vincent Prinz, MDMarcus Czabanka, MD
Charite Hospital Berlin

This is a clinical case of an elderly female patient who developed signs of hydrocephalus after receiving systemic thrombolysis for a middle cerebral artery (MCA) embolism, which was followed by intra-arterial thrombolysis a day before. The procedures were assessed as successful. Later on, despite the initial success, she was found exhibiting impaired consciousness. A follow-up head computed tomography (CT) revealed hemorrhaging of the cerebellum leading to the compression of the fourth ventricle and subsequent hydrocephalus.

A decision was made to place an external ventricular drain (EVD), followed by a suboccipital craniotomy and evacuation of the cerebellar hematoma. An EVD is a temporary catheter specifically designed to drain cerebrospinal fluid (CSF) and facilitate the monitoring of intracranial pressure (ICP). This video provides a detailed overview of the key steps involved in the EVD placement and hematoma evacuation, offering critical insights from skin incision to wound closure.

PUBLISHED: Acute Subdural Hematoma Evacuation

Acute Subdural Hematoma Evacuation
Vincent Prinz, MDMarcus Czabanka, MD
Charite Hospital Berlin

Subdural hematoma (SDH) is a type of intracranial bleeding that occurs between the dura and the arachnoid membrane surrounding the brain. This video is a step-by-step demonstration of a hematoma evacuation by craniotomy performed on an elderly female patient with an acute-on-chronic SDH.

PREPRINT RELEASE: Extraventricular Drainage and Hematoma Evacuation to Treat Hydrocephalus Following Lysis of MCA Embolism

Extraventricular Drainage and Hematoma Evacuation to Treat Hydrocephalus Following Lysis of MCA Embolism
Charite Hospital Berlin
Dr. med. Vincent Prinz,

PD Dr. med. Marcus Czabanka

A patient develops signs of hydrocephalus after receiving systemic thrombolysis for a MCA embolism. Dr. Prinz and his team react to the increased intracranial pressure by placing an extraventricular drain followed by manual evacuation of the hematoma.