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For many years neurosurgeons have resorted to ventricular drainage before, as well as after, operation in the surgical management of tumors of the brain. The methods varied, but drainage was usually executed by means of repeated ventricular taps through a burr opening into either of the lateral ventricles. The change in pressure necessarily was relatively rapid, and the accumulation of fluid recurred, so that in four to six hours the procedure had to be repeated, especially after operation. Even so, surgeons found the employment of drainage to be of distinct advantage in combating the increased intracranial pressure. Continuous ventricular drainage during the period when the intracranial pressure is at its height is, of course, highly desirable. In surgical procedures on cerebral tumors, for many reasons craniotomy should immediately follow the ventriculographic examination. A patient with a large cerebral tumor, resulting in greatly increased intracranial pressure, may for a few minutes,
Poppen JL. VENTRICULAR DRAINAGE AS A VALUABLE PROCEDURE IN NEUROSURGERY: Report of a Satisfactory Method. Arch NeurPsych. 1943;50(5):587–589. doi:10.1001/archneurpsyc.1943.02290230099011
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