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| Meta Title | External Ventricular Drainage (EVD) – Treatments |
| Meta Description | External ventricular drainage (EVD) is the temporary drainage of cerebrospinal fluid from the brain to an external collection system. Read more about the procedure and its indications. |
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| Boilerpipe Text | External Ventricular Drainage (EVD) - Overview
An External Ventricular Drainage (EVD) is the temporary drainage of cerebrospinal fluid (CSF) from the fluid filled cavities of the brain (lateral ventricles) to a closed collection system outside the body.
External Ventricular Drainage (EVD) - Indications
To relieve hydrocephalus ie. the accumulation of brain fluid within the intracranial cavity
Subarachnoid haemorrhage
Infection-meningitis
Obstruction due to tumour
To reduce intracranial pressure due to brain swelling
In a setting of head injury, stroke
Intracranial pressure monitoring
Head Injury
opens in a new tab
To achieve brain relaxation during surgery
External Ventricular Drainage (EVD) - Complications
The cause of this condition is irritation of the fifth cranial nerve (the Trigeminal nerve) which is responsible for providing facial sensation. This irritation is occasionally due to benign tumours or multiple sclerosis, either of which can usually be detected by a high quality MRI of the brain.
In the majority of cases, however, imaging of the brain does not reveal a cause of the nerve irritation. In such cases a small vessel (usually an artery but occasionally a vein) is often found at operation to be compressing the root entry zone of the Trigeminal nerve at the brainstem.
Treatment for External Ventricular Drainage
External Ventricular Drainage (EVD) - Procedure Description
General anaesthesia
Patient is cleaned and local anaesthetic is infiltrated
A linear incision is made either frontal or parietal based on the entry point selected by the surgeon
A burr hole is drilled till the inner table of the skull is breached
The underlying dura is then incised and its edges and pia are coagulated
The catheter is inserted into the ventricle and egress of brain fluid signals successful entry
Incision is closed and patient is sent back to ICU for close monitoring
The information provided is not intended as medical advice.
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## External Ventricular Drainage (EVD) – Treatments
# External Ventricular Drainage
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## What is - External Ventricular Drainage

### External Ventricular Drainage (EVD) - Overview
An External Ventricular Drainage (EVD) is the temporary drainage of cerebrospinal fluid (CSF) from the fluid filled cavities of the brain (lateral ventricles) to a closed collection system outside the body.
### External Ventricular Drainage (EVD) - Indications
- To relieve hydrocephalus ie. the accumulation of brain fluid within the intracranial cavity
- Subarachnoid haemorrhage
- Infection-meningitis
- Obstruction due to tumour
- To reduce intracranial pressure due to brain swelling
- In a setting of head injury, stroke
- Intracranial pressure monitoring
- [Head Injuryopens in a new tab](https://www.singhealth.com.sg/symptoms-treatments/head-injury)
- To achieve brain relaxation during surgery
### External Ventricular Drainage (EVD) - Complications
The cause of this condition is irritation of the fifth cranial nerve (the Trigeminal nerve) which is responsible for providing facial sensation. This irritation is occasionally due to benign tumours or multiple sclerosis, either of which can usually be detected by a high quality MRI of the brain.
In the majority of cases, however, imaging of the brain does not reveal a cause of the nerve irritation. In such cases a small vessel (usually an artery but occasionally a vein) is often found at operation to be compressing the root entry zone of the Trigeminal nerve at the brainstem.
## Treatment for External Ventricular Drainage
### External Ventricular Drainage (EVD) - Procedure Description
- General anaesthesia
- Patient is cleaned and local anaesthetic is infiltrated
- A linear incision is made either frontal or parietal based on the entry point selected by the surgeon
- A burr hole is drilled till the inner table of the skull is breached
- The underlying dura is then incised and its edges and pia are coagulated
- The catheter is inserted into the ventricle and egress of brain fluid signals successful entry
- Incision is closed and patient is sent back to ICU for close monitoring
##### Contributed by
##### [National Neuroscience Institute](https://www.nni.com.sg/)
The information provided is not intended as medical advice. [Terms of use](https://www.singhealth.com.sg/about-singhealth/corporate-governance/terms-of-use). Information provided by SingHealth.
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| Readable Markdown |  External Ventricular Drainage (EVD) - Overview An External Ventricular Drainage (EVD) is the temporary drainage of cerebrospinal fluid (CSF) from the fluid filled cavities of the brain (lateral ventricles) to a closed collection system outside the body. External Ventricular Drainage (EVD) - Indications To relieve hydrocephalus ie. the accumulation of brain fluid within the intracranial cavity Subarachnoid haemorrhage Infection-meningitis Obstruction due to tumour To reduce intracranial pressure due to brain swelling In a setting of head injury, stroke Intracranial pressure monitoring [Head Injuryopens in a new tab](https://www.singhealth.com.sg/symptoms-treatments/head-injury) To achieve brain relaxation during surgery External Ventricular Drainage (EVD) - Complications The cause of this condition is irritation of the fifth cranial nerve (the Trigeminal nerve) which is responsible for providing facial sensation. This irritation is occasionally due to benign tumours or multiple sclerosis, either of which can usually be detected by a high quality MRI of the brain. In the majority of cases, however, imaging of the brain does not reveal a cause of the nerve irritation. In such cases a small vessel (usually an artery but occasionally a vein) is often found at operation to be compressing the root entry zone of the Trigeminal nerve at the brainstem. Treatment for External Ventricular Drainage External Ventricular Drainage (EVD) - Procedure Description General anaesthesia Patient is cleaned and local anaesthetic is infiltrated A linear incision is made either frontal or parietal based on the entry point selected by the surgeon A burr hole is drilled till the inner table of the skull is breached The underlying dura is then incised and its edges and pia are coagulated The catheter is inserted into the ventricle and egress of brain fluid signals successful entry Incision is closed and patient is sent back to ICU for close monitoring
The information provided is not intended as medical advice. [Terms of use](https://www.singhealth.com.sg/about-singhealth/corporate-governance/terms-of-use). Information provided by SingHealth. |
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