{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T10:31:34Z","timestamp":1793961094212,"version":"4.8.0"},"reference-count":46,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":172,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Brain and Spine"],"published-print":{"date-parts":[[2026]]},"DOI":"10.1016\/j.bas.2026.106142","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:24:41Z","timestamp":1782231881000},"page":"106142","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Recommendations for ventriculostomy and cisternostomy in TBI management: Results of the WFNS-Neurotraumatology committee \u201cCusco consensus\u201d"],"prefix":"10.1016","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8931-3254","authenticated-orcid":false,"given":"Andr\u00e9s M.","family":"Rubiano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7106-3568","authenticated-orcid":false,"given":"Wendy D.","family":"Gonzalez-Tobar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5747-9844","authenticated-orcid":false,"given":"Laura M.","family":"Loaiza-Cardona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1751-0732","authenticated-orcid":false,"given":"Andr\u00e9s F.","family":"Salazar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Cardona-Collazos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Hermosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6239-474X","authenticated-orcid":false,"given":"Shugar","family":"Hinojosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amaya","family":"Alvarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8152-349X","authenticated-orcid":false,"given":"Eve","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3866-3101","authenticated-orcid":false,"given":"Adri\u00e1n","family":"Zapata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Canitrot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robson","family":"Amorim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piedad","family":"Acurio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Berra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"El Fiki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8997-0940","authenticated-orcid":false,"given":"Leonardo","family":"Zapata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8676-1147","authenticated-orcid":false,"given":"Mario","family":"Ganau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wellingson","family":"Paiva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Reisner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4111-9270","authenticated-orcid":false,"given":"Oscar","family":"Alves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bas.2026.106142_bib1","unstructured":"Baishya BK, Kamat TA. Surgical Outcome of Acute Subdural Hematoma: Clinical and Outcome Analysis."},{"issue":"2","key":"10.1016\/j.bas.2026.106142_bib2","first-page":"175","article-title":"Comparative effectiveness of cerebrospinal fluid diversion strategies and associated infection rates in patients with acute brain injury","volume":"90","author":"Bell","year":"2022","journal-title":"Neurosurgery"},{"key":"10.1016\/j.bas.2026.106142_bib3","article-title":"External ventricular drainage and management pearls","author":"Bertuccio","year":"2023","journal-title":"Neurol. Sci."},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib4","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s12987-020-00201-8","article-title":"Review: pathophysiology of intracranial hypertension and noninvasive intracranial pressure monitoring","volume":"17","author":"Canac","year":"2020","journal-title":"Fluids Barriers CNS"},{"key":"10.1016\/j.bas.2026.106142_bib5","doi-asserted-by":"crossref","first-page":"e58","DOI":"10.1016\/j.wneu.2022.02.067","article-title":"Cisternostomy versus decompressive craniectomy for the management of traumatic brain injury: a randomized controlled trial","volume":"162","author":"Chandra","year":"2022","journal-title":"World Neurosurg."},{"issue":"9","key":"10.1016\/j.bas.2026.106142_bib6","doi-asserted-by":"crossref","DOI":"10.3390\/jcm8091422","article-title":"The evolution of the role of external ventricular drainage in traumatic brain injury","volume":"8","author":"Chau","year":"2019","journal-title":"J. Clin. Med."},{"issue":"10","key":"10.1016\/j.bas.2026.106142_bib7","article-title":"Effect of adjuvant cisternostomy on the prognosis of patients with severe traumatic brain injury: a single center's retrospective study","volume":"104","author":"Chen","year":"2025","journal-title":"Medicine (Baltim.)"},{"key":"10.1016\/j.bas.2026.106142_bib10","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.wneu.2016.01.072","article-title":"Cisternostomy for traumatic brain injury: pathophysiologic mechanisms and surgical technical notes","volume":"89","author":"Cherian","year":"2016","journal-title":"World Neurosurg."},{"key":"10.1016\/j.bas.2026.106142_bib11","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/j.wneu.2019.07.082","article-title":"Cisternostomy: a timely intervention in moderate to severe traumatic brain injuries: rationale, indications, and prospects","volume":"131","author":"Cherian","year":"2019","journal-title":"World Neurosurg."},{"issue":"3","key":"10.1016\/j.bas.2026.106142_bib9","doi-asserted-by":"crossref","first-page":"132","DOI":"10.4103\/1793-5482.121684","article-title":"Cisternostomy: replacing the age old decompressive hemicraniectomy?","volume":"8","author":"Cherian","year":"2013","journal-title":"Asian J. Neurosurg."},{"issue":"3","key":"10.1016\/j.bas.2026.106142_bib8","article-title":"Outcomes of severe head injury patients undergoing cisternostomy from a tertiary care hospital in Nepal","volume":"2","author":"Cherian","year":"2019","journal-title":"Indonesian Journal of Neurosurgery"},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib12","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1007\/s10143-024-02954-4","article-title":"Basal cisternostomy as an adjunct to decompressive hemicraniectomy in moderate to severe traumatic brain injury: a systematic review and meta-analysis","volume":"47","author":"Ciobanu-Caraus","year":"2024","journal-title":"Neurosurg. Rev."},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib13","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1186\/s13054-017-1816-9","article-title":"Variation in monitoring and treatment policies for intracranial hypertension in traumatic brain injury: a survey in 66 neurotrauma centers participating in the CENTER-TBI study","volume":"21","author":"Cnossen","year":"2017","journal-title":"Crit. Care"},{"key":"10.1016\/j.bas.2026.106142_bib14","doi-asserted-by":"crossref","DOI":"10.3389\/fphar.2022.713100","article-title":"A precision medicine agenda in traumatic brain injury","volume":"13","author":"Cruz Navarro","year":"2022","journal-title":"Front. Pharmacol."},{"issue":"22","key":"10.1016\/j.bas.2026.106142_bib15","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1212\/WNL.0000000000008552","article-title":"Factors and measures predicting external CSF drain-associated ventriculitis: a review and meta-analysis","volume":"93","author":"Dorresteijn","year":"2019","journal-title":"Neurology"},{"issue":"6","key":"10.1016\/j.bas.2026.106142_bib16","doi-asserted-by":"crossref","first-page":"189","DOI":"10.58624\/SVOANE.2023.04.0111","article-title":"Decompressive craniectomy versus cisternostomy in traumatic intracranial hypertension. Systematic review","volume":"4","author":"Team","year":"2023","journal-title":"SVOA Neurol"},{"issue":"10","key":"10.1016\/j.bas.2026.106142_bib17","doi-asserted-by":"crossref","DOI":"10.21037\/jeccm.2017.09.03","article-title":"Surgical interventions for severe traumatic brain injury","volume":"1","author":"Fong","year":"2017","journal-title":"J Emerg Crit Care Med"},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib18","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s12028-015-0224-8","article-title":"The insertion and management of external ventricular drains: an evidence-based consensus statement","volume":"24","author":"Fried","year":"2016","journal-title":"Neurocritical Care"},{"issue":"3","key":"10.1016\/j.bas.2026.106142_bib19","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s00701-020-04222-y","article-title":"Implementation of cisternostomy as adjuvant to decompressive craniectomy for the management of severe brain trauma","volume":"162","author":"Giammattei","year":"2020","journal-title":"Acta Neurochir (Wien)"},{"issue":"17\u201318","key":"10.1016\/j.bas.2026.106142_bib20","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1089\/neu.2024.0463","article-title":"Optimal arterial pressure transducer positioning for neurocritical care patients: a review","volume":"42","author":"Giglio","year":"2025","journal-title":"J. Neurotrauma"},{"key":"10.1016\/j.bas.2026.106142_bib21","doi-asserted-by":"crossref","first-page":"e252","DOI":"10.1016\/j.wneu.2020.12.133","article-title":"Putting \u201cCSF-shift edema\u201d hypothesis to test: comparing cisternal and parenchymal pressures after basal cisternostomy for head injury","volume":"148","author":"Goyal","year":"2021","journal-title":"World Neurosurg."},{"issue":"2","key":"10.1016\/j.bas.2026.106142_bib22","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.cjtee.2024.09.007","article-title":"The basal cisternostomy for management of severe traumatic brain injury: a retrospective study","volume":"28","author":"Han","year":"2025","journal-title":"Chin. J. Traumatol. (Engl. Ed.)"},{"issue":"12","key":"10.1016\/j.bas.2026.106142_bib23","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1007\/s00134-019-05805-9","article-title":"A management algorithm for patients with intracranial pressure monitoring: the Seattle international severe traumatic brain injury consensus conference (SIBICC)","volume":"45","author":"Hawryluk","year":"2019","journal-title":"Intensive Care Med."},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib24","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1097\/JNN.0000000000000174","article-title":"Establishment of an external ventricular drain best practice guideline: the quest for a comprehensive, universal standard for external ventricular drain care","volume":"48","author":"Hepburn-Smith","year":"2016","journal-title":"J. Neurosci. Nurs."},{"key":"10.1016\/j.bas.2026.106142_bib25","unstructured":"Herbert I. The insertion and management of external ventricular drains: an evidence-based consensus statement. A statement for healthcare professionals from the neurocritical care society. Neurocritical Care."},{"issue":"4","key":"10.1016\/j.bas.2026.106142_bib26","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.4103\/0028-3886.355117","article-title":"Basal cisternostomy in head injury: more questions than answers","volume":"70","author":"Kumar","year":"2022","journal-title":"Neurol. India"},{"key":"10.1016\/j.bas.2026.106142_bib27","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/j.wneu.2024.06.112","article-title":"Cisternostomy as an adjuvant or standalone approach for management of traumatic brain injury: a systematic review and network meta-analysis","volume":"189","author":"Kumarasamy","year":"2024","journal-title":"World Neurosurg."},{"key":"10.1016\/j.bas.2026.106142_bib28","doi-asserted-by":"crossref","first-page":"412","DOI":"10.25259\/SNI_825_2023","article-title":"Is basal cisternostomy in traumatic brain injury a need of hour or white elephant - a randomized trial to answer","volume":"14","author":"Kumari","year":"2023","journal-title":"Surg. Neurol. Int."},{"issue":"3","key":"10.1016\/j.bas.2026.106142_bib29","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/ANA.0000000000000407","article-title":"Perioperative management of adult patients with external ventricular and lumbar drains: guidelines from the society for neuroscience in anesthesiology and critical care","volume":"29","author":"Lele","year":"2017","journal-title":"J. Neurosurg. Anesthesiol."},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib30","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1007\/s10143-024-03102-8","article-title":"Cisternostomy associated with decompressive craniectomy for traumatic brain injury: a systematic review and meta-analysis","volume":"47","author":"Lino-Filho","year":"2024","journal-title":"Neurosurg. Rev."},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib31","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1007\/s00701-024-06084-0","article-title":"Cisternostomy is not beneficial to reduce the occurrence of post-traumatic hydrocephalus in traumatic brain injury","volume":"166","author":"Liu","year":"2024","journal-title":"Acta Neurochir (Wien)"},{"issue":"9","key":"10.1016\/j.bas.2026.106142_bib32","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.34214","article-title":"Comparative effectiveness of intracranial pressure monitoring on 6-month outcomes of critically ill patients with traumatic brain injury","volume":"6","author":"Nattino","year":"2023","journal-title":"JAMA Netw. Open"},{"issue":"2","key":"10.1016\/j.bas.2026.106142_bib33","doi-asserted-by":"crossref","first-page":"328","DOI":"10.4103\/0028-3886.314535","volume":"69","author":"Parthiban","year":"2021","journal-title":"Neurol. India"},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib34","article-title":"Preventing ventricular catheter displacement and infection with the \u201ccatheter-locking device-assisted\u201d technique: a retrospective study of 231 patients","volume":"46","author":"Piccirilli","year":"2023","journal-title":"Neurosurg. Rev."},{"key":"10.1016\/j.bas.2026.106142_bib35","article-title":"Minimally invasive neurosurgery in traumatic brain injury: a comprehensive review of neurological outcomes","author":"Pitton Rissardo","year":"2025","journal-title":"Preprints"},{"issue":"23","key":"10.1016\/j.bas.2026.106142_bib36","doi-asserted-by":"crossref","first-page":"3222","DOI":"10.1089\/neu.2021.0059","article-title":"Phenotyping the spectrum of traumatic brain injury: a review and pathway to standardization","volume":"38","author":"Pugh","year":"2021","journal-title":"J. Neurotrauma"},{"issue":"2","key":"10.1016\/j.bas.2026.106142_bib37","doi-asserted-by":"crossref","first-page":"283","DOI":"10.3390\/surgeries4020029","article-title":"The role of cisternostomy in the management of severe traumatic brain injury: a triple-center study","volume":"4","author":"Ramirez","year":"2023","journal-title":"Surgeries"},{"issue":"1","key":"10.1016\/j.bas.2026.106142_bib38","doi-asserted-by":"crossref","first-page":"38","DOI":"10.15562\/ijbs.v17i1.448","article-title":"The effectivity and safety of cisternostomy and decompressive craniectomy as management of brain trauma: a systematic review and meta-analysis","volume":"17","author":"Satyarsa","year":"2023","journal-title":"Indones. J. Biomed. Sci."},{"issue":"13","key":"10.1016\/j.bas.2026.106142_bib39","doi-asserted-by":"crossref","DOI":"10.3171\/CASE25170","article-title":"Basal cisternostomy for severe traumatic brain injury: illustrative case","volume":"10","author":"Sharafudeen","year":"2025","journal-title":"J Neurosurg Case Lessons"},{"key":"10.1016\/j.bas.2026.106142_bib40","first-page":"S22","article-title":"External ventricular drain infections: prevention and management","volume":"66","author":"Sheppard","year":"2018","journal-title":"Neurol. India"},{"key":"10.1016\/j.bas.2026.106142_bib41","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.jocn.2021.10.014","article-title":"Systematic review and meta-analysis of external ventricular drain placement accuracy and narrative review of guidance devices","volume":"94","author":"Stuart","year":"2021","journal-title":"J. Clin. Neurosci."},{"issue":"11\u201312","key":"10.1016\/j.bas.2026.106142_bib42","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1089\/neu.2023.0493","article-title":"Association between early external ventricular drain insertion and functional outcomes 6 months following moderate-to-severe traumatic brain injury","volume":"41","author":"Taylor","year":"2024","journal-title":"J. Neurotrauma"},{"issue":"3","key":"10.1016\/j.bas.2026.106142_bib43","doi-asserted-by":"crossref","first-page":"14","DOI":"10.3126\/njn.v15i3.23271","article-title":"Role of cisternal drainage in patients with traumatic brain injury undergoing decompressive craniectomy","volume":"15","author":"Thapa","year":"2019","journal-title":"Nepal J. Neurosci."},{"issue":"6","key":"10.1016\/j.bas.2026.106142_bib44","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1093\/cid\/ciw861","article-title":"2017 infectious diseases society of America's clinical practice guidelines for healthcare-associated ventriculitis and meningitis","volume":"64","author":"Tunkel","year":"2017","journal-title":"Clin. Infect. Dis."},{"issue":"2","key":"10.1016\/j.bas.2026.106142_bib45","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1055\/s-0041-1739478","article-title":"Outcomes and predictors of outcome with cisternostomy in the management of traumatic brain injury\u2014A prospective observational study at a tertiary centre","volume":"19","author":"Vemula","year":"2022","journal-title":"Indian J Neurotrauma"},{"issue":"B","key":"10.1016\/j.bas.2026.106142_bib46","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.3889\/oamjms.2020.4423","article-title":"Value of adding cisternostomy to decompressive hemicraniectomy in the management of traumatic acute subdural hematoma patients","volume":"8","author":"Youssef","year":"2020","journal-title":"Open Access Maced. J. Med. Sci."}],"container-title":["Brain and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772529426002183?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772529426002183?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T10:18:32Z","timestamp":1793960312000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2772529426002183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":46,"alternative-id":["S2772529426002183"],"URL":"https:\/\/doi.org\/10.1016\/j.bas.2026.106142","relation":{},"ISSN":["2772-5294"],"issn-type":[{"value":"2772-5294","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Recommendations for ventriculostomy and cisternostomy in TBI management: Results of the WFNS-Neurotraumatology committee \u201cCusco consensus\u201d","name":"articletitle","label":"Article Title"},{"value":"Brain and Spine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bas.2026.106142","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V. on behalf of EANS, the European Association of Neurosurgical Societies, EUROSPINE, the Spine Society of Europe.","name":"copyright","label":"Copyright"}],"article-number":"106142"}}