Coma due to malplaced external ventricular drain

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Ventriculostomy or external ventricular drain (EVD) placement by free-hand technique has a high malplacement rate. It is a blind procedure that often requires multiple attempts and revisions. To date, no neurological complication due to EVD malplacement has been reported in the literature. In this report, we present the first case of coma induced by a malplaced EVD and the patient regained consciousness after the drain was adjusted. Our discussion focused on various techniques that can improve the accuracy of EVD insertion. EVD insertion under image guidance provides better accuracy with limited disadvantages. We hypothesized that the patient's coma was due to the mass effect and irritation of the malplaced EVD exerted onto the ventral periaqueductal grey matter and the ascending neurons from upper brainstem.

Original languageEnglish
Pages (from-to)561-563
Number of pages3
JournalTurkish Neurosurgery
Volume23
Issue number4
DOIs
Publication statusPublished - 2013

Fingerprint

Coma
Ventriculostomy
Periaqueductal Gray
Consciousness
Brain Stem
Hand
Neurons

Keywords

  • Coma
  • Complications
  • External ventricular drain
  • Hydrocephalus
  • Ventriculostomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Coma due to malplaced external ventricular drain. / Chai, Feng Yih; Fadzil, Farizal; Thanabalan, Jegan.

In: Turkish Neurosurgery, Vol. 23, No. 4, 2013, p. 561-563.

Research output: Contribution to journalArticle

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