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Fig. 2 | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Fig. 2

From: Ventriculosubgaleal shunting for spontaneous intraventricular haemorrhage: is it a good alternative to external ventricular drainage?

Fig. 2

A 51-year-old male presented with intraventricular haemorrhage managed by right-sided ventriculosubgaleal shunt (VSGS). A Axial CT scan before insertion of shunt shows blood is filling and dilating both lateral ventricle, third and fourth ventricles with right sub-frontal intra-cerebral haematoma. According to Graeb’s grading system, intraventricular haemorrhage is graded as severe with score 12. B and C Axial CT scan 24 h and 7 days, respectively, after VSGS insertion showing the end of the shunt inserted into the frontal horn of the right lateral ventricle with progressive decrease in the intraventricular blood (successful drainage) and decrease ventricular dilatation. D Postoperative image of patient’s head showing bogginess of the scalp with CSF post-insertion of VSG shunt using C-shaped incision at Kocher’s point

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