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If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Introduction: Sex-related differences in patients with hemorrhagic stroke due to spontaneous intracerebral hemorrhage ICH are poorly investigated.
Methods: This retrospective single center study includes all consecutive patients with spontaneous ICH admitted to the Neurocritical Care Unit in a year period. No differences in demographics, Charlson Comorbidity Index, symptoms at presentation, ICU- and month mortality were observed among men and women. Men received an external ventricular drain EVD for hydrocephalus-therapy significantly more often than women did.
Conclusions: Sex-related differences in patients with ICH with regard to the surgically provided care exist. We provide evidence that insertion of EVD is associated with male gender disregarding clear reasoning. We suggest that a gender-bias as well as social factors play a significant role in decision-making for the insertion of an EVD. Introduction: The cerebrospinal fluid CSF concentration of the bacterial 4-hydroxyphenyllactic acid p- HPhLA was recently shown to be a possible one-parameter criterion for the diagnosis of the post-neurosurgical bacterial meningitis PNBM with cut-off value of 0.
The goal of this study was to determine if the CSF content of these parameters correlate with each other in neurosurgical patients. Results: p -HPhLA is known to correlate with the serum lactate [3]. Some patients were studied in dynamics to illustrate the revealed correlation. Patients 1β4 had signs of PNBM according to specific criterium of positive CSF culture patients 1 and 3 and non-specific criteria of neutrophilic pleocytosis, high CSF protein and lactate patients 2 and 4.
