{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T17:12:48Z","timestamp":1772903568814,"version":"3.50.1"},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nExternal ventricular drain (EVD) insertion is a common neurosurgical procedure used to treat acute hydrocephalus. In this report, we present a rare case of an EVD that was initially correctly placed within the frontal horn but subsequently migrated to the cisterna magna, the first to be reported in the literature.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 46-year-old man with postoperative meningitis and hydrocephalus underwent EVD insertion using an improvised EVD system. The EVD was also used as a route for the administration of intraventricular antibiotics. The patient was restless and agitated during his treatment, causing him to move his head frequently. Serial computed tomography scans showed that the EVD was initially correctly placed within the frontal horn and then migrated to the cisterna magna.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nInward catheter migration is a rare complication of EVD insertion and is an important concern since it may cause neurologic deficits and potentially harmful sequelae. We have also highlighted measures that can be taken to prevent a similar event in the future.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_67_2024","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T06:42:10Z","timestamp":1716532930000},"page":"172","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["External ventricular drain migration into the cisterna magna: A case report"],"prefix":"10.25259","volume":"15","author":[{"given":"Mary Angeline Luz Ubias","family":"Hernandez","sequence":"first","affiliation":[{"name":"Department of Neurosciences, University of the Philippines - Philippine General Hospital, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin Ivan Pe\u00f1averde","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Philippine General Hospital, Manila, Philippines."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen Joy O.","family":"Khu","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, University of the Philippines - Philippine General Hospital, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"10.25259\/SNI_67_2024\/ref-1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s00701-011-1136-9","article-title":"Accuracy of external ventricular drainage catheter placement","volume":"154","author":"Abdoh","year":"2012","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_67_2024\/ref-2","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1016\/j.clineuro.2013.05.026","article-title":"Accuracy of tunnelated vs. Bolt-connected external ventricular drains","volume":"115","author":"Bergdal","year":"2013","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_67_2024\/ref-3","doi-asserted-by":"crossref","first-page":"662","DOI":"10.3171\/jns.1980.53.5.0662","article-title":"Percutaneous tunnel ventriculostomy. 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