This is literally a brain drain. What are the indications? 🧠🤔

External ventricular drainage, or ventriculostomy, refers to surgical placement of a catheter into the ventricle to achieve temporary cerebrospinal fluid diversion and remains one of the most frequently performed neurosurgical interventions. External ventricular drainage is an essential therapeutic strategy for a myriad of neurological disease processes causing hydrocephalus or increased intracranial pressure including traumatic brain injury, subarachnoid hemorrhage, and intracranial hemorrhage with intraventricular extension.  Complications related to both EVD and lumbar drain placement include malfunction, infection, and hemorrhage.

Our surgery professor used to tell us: "abscess should be drained even in the brain" 2. Expanding subdural hematoma. 3. Symptomatic hydrocephalus before establishing VP shunt

Increased ICP

What about a lumbar puncture like for benign intracranial hypertension?

I had a patient with a VP shunt who insisted he had no past medical/surgical history. 🙄

Not enough Ramones in the patient's history!

Increased icp

Hydrocephalus

Drain blood from 🧠 to rescue it from stroke...

Edema and midline shift that raise icp after gsw to head, strokes.