Abstract | OBJECTIVE AND IMPORTANCE: CLINICAL PRESENTATION: INTERVENTION: A right external ventricular drain was placed but functioned poorly. ICP could not be controlled by conventional methods. Five milligrams of recombinant tissue plasminogen activator was injected into the ventricular system via the external ventricular drain. This was repeated daily for 4 days. This treatment resulted in progressive improvement in ICP and clinical status. Once the clot partially cleared, magnetic resonance imaging and magnetic resonance angiography suggested the presence of a right periventricular arteriovenous malformation, which was confirmed by angiography and subsequently resected. CONCLUSION:
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Authors | Krishna Kumar, Denny D Demeria, Ashok Verma |
Journal | Neurosurgery
(Neurosurgery)
Vol. 52
Issue 4
Pg. 964-8; discussion 968-9
(Apr 2003)
ISSN: 0148-396X [Print] United States |
PMID | 12657195
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Recombinant Proteins
- Tissue Plasminogen Activator
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Topics |
- Cerebral Angiography
- Cerebral Hemorrhage
(surgery)
- Cerebral Ventricles
(blood supply)
- Child
- Craniotomy
- Humans
- Hydrocephalus
(drug therapy)
- Intracranial Arteriovenous Malformations
(surgery)
- Intracranial Pressure
(drug effects)
- Magnetic Resonance Imaging
- Male
- Premedication
- Recombinant Proteins
(administration & dosage)
- Temporal Lobe
(blood supply)
- Thrombolytic Therapy
- Tissue Plasminogen Activator
(administration & dosage)
- Tomography, X-Ray Computed
- Ventriculostomy
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