Graeb Score

Graeb score = righ ventricular score + left ventricular score + 3th ventricular score + 4th ventricular score 1) 2).

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 3).


1)
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.
2)
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.
3)
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.
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