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External Ventricular Drainage for Hydrocephalus Following Cerebellar Infarction: A Scoping Review.


ABSTRACT: Background: Cerebellar infarction complicated by obstructive hydrocephalus is a life-threatening condition. External ventricular drainage (EVD) has traditionally been regarded as hazardous due to concerns about precipitating upward transtentorial herniation, whereas suboccipital decompressive craniectomy (SDC) remains the definitive life-saving treatment. The optimal role and sequencing of these interventions remain controversial. Methods: A scoping review was conducted in accordance with PRISMA-ScR guidelines. PubMed/MEDLINE was systematically searched from inception to September 2025. Eligible studies included adult patients with cerebellar infarction and acute obstructive hydrocephalus managed with EVD, with or without SDC. Data on study design, patient characteristics, in

SUBMITTER: Tanaka T 

PROVIDER: S-EPMC12733857 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature