====== Graeb Score ====== {{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1P3PNIbOiNPeDNM-EMH0HyHWXM-l3YNZg-lR1UP2mntlqhlkht/?limit=15&utm_campaign=pubmed-2&fc=20230930071650}} ---- ---- [[Intraventricular hematoma]] score. see also [[LeRoux score]]. Components Each lateral ventricle 1 = trace of blood 2 = less than 50% filled 3 = more than 50% filled 4 = completely filled and expanded 3th and [[Fourth intraventricular hemorrhage]]s 0 = no blood 1 = blood present, size normal 2 = filled with blood and expanded ====Calculation==== Graeb score = righ ventricular score + left ventricular score + 3th ventricular score + 4th ventricular score ((Hwang BY, Bruce SS, Appelboom G, Piazza MA, Carpenter AM, Gigante PR, et al. Evaluation of intraventricular hemorrhage assessment methods for predicting outcome following intracerebral hemorrhage. J Neurosurg 2012; 116:185-192.)) ((Graeb DA, Robertson WD, Lapointe JS, Nugent RA, Harrison PB. Computed tomographic diagnosis of intraventricular hemorrhage. Etiology and prognosis. Radiology. 1982 Apr;143(1):91-6. PubMed PMID: 6977795.)). ===== Retrospective case-control studies ===== A study suggests that elevated modified Graeb score on initial computed tomography and high cerebrospinal fluid protein levels prior to EVD wean are important prognostic indicators for the development of [[shunt dependency]] after aneurysmal SAH. Integrating these findings into clinical practice may aid in earlier and more targeted decision-making ((McMahon JT, Malcolm JG, Douglas JM, Greven A, Sadan O, Samuels OB, Cawley CM, Barrow DL, Grossberg JA, Howard BM. Shunt-Dependent Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage: Investigation of Prognostic Variables and Creation of a Stronger Predictive Model. World Neurosurg. 2025 Jan 24;195:123659. doi: 10.1016/j.wneu.2025.123659. Epub ahead of print. PMID: 39778627.)).