External ventricular drainage (EVD) is a core neurosurgical technique in the acute management of intraventricular hemorrhage (IVH), especially when associated with hydrocephalus or elevated intracranial pressure (ICP).
EVD is used to:
See also:
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).
* Strengths:
* Weaknesses:
* Verdict:
* Rating: 4 / 10
* Key takeaway for practicing neurosurgeons:
An anecdotal commentary on EVD use in IVH—thought‑provoking but unsubstantiated. Use as a discussion starter, not as a guideline.
Citation: Leite PI, Rabello PH, Figueiredo EG. Letter to the Editor: A viewpoint on external ventricular drainage in intraventricular hemorrhage. *J Neurosurg.* 2025 Jul 4:1–2. doi:10.3171/2025.3.JNS25426.
Categories: neurosurgery_letters, ivh_management, csf_diversion Tags: intraventricular hemorrhage, external ventricular drainage, EVD technique, opinion piece, commentary