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Nonetheless, hemorrhagic dilation of the fourth ventricle may lead to catastrophic consequences for patients with massive IVH. We present two cases of massive IVH accompanied by massive fourth ventricle hematoma which was successfully removed with combination of suboccipital craniotomy for fourth ventricle hematoma and intraventricular fibrinolysis for supratentorial hematoma.<\/jats:p>","DOI":"10.3340\/jkns.2021.0122","type":"journal-article","created":{"date-parts":[[2021,11,29]],"date-time":"2021-11-29T23:30:21Z","timestamp":1638228621000},"page":"325-330","update-policy":"https:\/\/doi.org\/10.3340\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Direct Removal of Fourth Ventricle Hematoma in Massive Intraventricular Hemorrhage"],"prefix":"10.3340","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5410-7418","authenticated-orcid":true,"given":"You-Sub","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6763-6503","authenticated-orcid":true,"given":"Han-Seung","family":"Ryu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7134-073X","authenticated-orcid":true,"given":"Tae-Sun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4983-0174","authenticated-orcid":true,"given":"Sung-Pil","family":"Joo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1892","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-019-01110-7"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/bf01401454"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-020-04499-z"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199306000-00010"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-012-0399-9"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.143.1.6977795"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1085449"},{"key":"ref8","first-page":"678","volume-title":"Intraventricular hemorrhage in blunt head trauma: an analysis of 43 cases","author":"LeRoux","year":"1992"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0080599"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s004150050348"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.10.177"},{"key":"ref12","first-page":"635","volume-title":"The modified Graeb score: an enhanced tool for intraventricular hemorrhage measurement and prediction of functional outcome","author":"Morgan","year":"2013"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1994.80.5.0805"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s11596-018-1957-3"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199903000-00045"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.36.6.858"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1179\/016164105x35657"}],"container-title":["Journal of Korean Neurosurgical Society"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/jkns.or.kr\/upload\/pdf\/jkns-2021-0122.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jkns.or.kr\/journal\/view.php?doi=10.3340\/jkns.2021.0122","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jkns.or.kr\/upload\/pdf\/jkns-2021-0122.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T05:30:08Z","timestamp":1646717408000},"score":1,"resource":{"primary":{"URL":"http:\/\/jkns.or.kr\/journal\/view.php?doi=10.3340\/jkns.2021.0122"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,1]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,3]]}},"URL":"https:\/\/doi.org\/10.3340\/jkns.2021.0122","relation":{},"ISSN":["2005-3711","1598-7876"],"issn-type":[{"value":"2005-3711","type":"print"},{"value":"1598-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,1]]},"assertion":[{"value":"2021-05-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-30","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}