In a Letter to the Editor Leite et al. in the *Journal of Neurosurgery* comment on current practices and considerations regarding external ventricular drainage in intraventricular hemorrhage. The authors present their viewpoint on optimal EVD timing, placement technique, cerebrospinal fluid management strategies, and potential complications 1).
Critical Review
* Strengths:
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Raises important technical and clinical considerations not addressed in existing guidelines.
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Encourages neurosurgeons to think critically about EVD protocols within IVH management.
* Weaknesses:
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No original data or case series—purely anecdotal/opinion-based.