Abstract
Introduction: Neuroendoscopy is a rapidly growing field, but the risk of intraventricular hemorrhage
is signficant. There are few novel ways of obtaining hemostasis for major hemorrhage
described in the literature.
Patient: A 5-year-old boy with a history of intraventricular hemorrhage and multi-cystic hydrocephalus
presented with worsening brainstem compression from dilation of a 4th ventricle cyst.
Results: During endoscopic surgery to fenestrate the cyst, arterial hemorrhage was emergently
controlled with the hemostatic agent, FloSeal.
Conclusion: To the best of the authors’ knowledge, this is the first report of a patient with
intraoperative intraventricular hemorrhage controlled with FloSeal.
Key words
cyst fenestration - endoscopy - hydrocephalus - intraventricular hemorrhage - FloSeal
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Correspondence
A. Reeves
Department of Neurosurgery
University of California Irvine
101 The City Drive South
Orange
California 92868
USA
Phone: +1/714/456 6966
Fax: +1/714/456 8212
Email: alreeves@uci.edu