J Korean Neurosurg Soc.  1994 Apr;23(4):468-473.

Hemorrhage Occurred after External Ventricular Drainage in Medulloblastoma

• Gwak HS
• Chung YS
• Wang KC
• Cho BK
• Han DH

Abstract

The authors experienced 2 cases of medulloblastoma in which active hemorrhage occurred after external ventricular drainage(EVD). A 5 year-old girl suffered from cerebellar fit and brain CT scan showed severe hydrocephalus. So EVD was performed and the pressure was measured about 80 cm H2O. After a gradual reduction of EVD pressure for 15 minutes, fresh blood gushed out through the EVD catheter. The other case was a 7 year-old girl whose tumor bled after intraoperative EVD, just before dural incision. Both tumors were highly vascular in operative field. The first case was bed-ridden at 5 months after surgery and the second case was on postoperative chemotherapy in a good general condition with minimal neurological deficits. Previous reports in the literatures including 2 cases of hemorrhage associated with EVD in medulloblastoma were reviewed. The relatively high incidence of tumor hemorrhage in medulloblastoma and its detrimental influence on the outcome are emphasized.

Keyword

External ventricular drainage; Hemorrhage; Medulloblastoma

MeSH Terms

Brain
Catheters
Child
Child, Preschool
Drainage*
Drug Therapy
Female
Hemorrhage*
Humans
Hydrocephalus
Incidence
Medulloblastoma*
Tomography, X-Ray Computed