Topics:
Neurology • Vascular Neurology
When can you utilize external ventricular drains (EVDs) in the management of posterior fossa strokes?
Do all malignant posterior fossa infarcts need sub-occipital craniectomy or are there a subset of cases that can be managed with EVD?
Answer from: at Academic Institution
I would use an EVD only in combination with posterior fossa craniectomy in patients with large cerebellar infarctions. An EVD alone could result in upward herniation.
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