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Clinical neurology
Cerebrospinal fluid drainage in non-traumatic subarachnoid hemorrhage: which way out?
  1. Sima Vazquez1,
  2. Galadu Subah2,
  3. Jessica Dorilio1,
  4. Bridget Nolan2,
  5. Jose Dominguez2,
  6. Chirag D Gandhi2,
  7. Fawaz Al-Mufti2,3
  1. 1 School of Medicine, New York Medical College, Valhalla, New York, USA
  2. 2 Department of Neurosurgery, Westchester Medical Center, Valhalla, New York, USA
  3. 3 Department of Neurology, Westchester Medical Center, Valhalla, New York, USA
  1. Correspondence to Dr Fawaz Al-Mufti, Westchester Medical Center, New York Medical College, Vahalla, New York, USA; fawaz.al-mufti{at}wmchealth.org

https://doi.org/10.1136/jnis-2023-021319

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    We read with great interest the results of the recent EARLYDRAIN trial.1 In this trial, the authors compare early lumbar cerebrospinal fluid (CSF) drainage to standard of treatment for patients with non-traumatic subarachnoid hemorrhage (SAH) and found that patients who received early lumbar drain (LD) had decreased rates of unfavorable outcomes at 6 months. Hydrocephalus is a common complication of SAH and can lead to vasospasm and cerebral ischemia.2 As shown in the EARLYDRAIN trials, LD may provide an alternative approach to external ventricular drain (EVD) for CSF diversion.1 3

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    Footnotes

    • X @vazquez_sima, @almuftifawaz

    • Correction notice Since this letter first published, the corresponding author has changed from SV to FA.

    • Contributors SV: conceptualization, data curation, writing. GS: writing. JD: writing. BN: writing. JFD: data analysis, supervision. CG: supervision. FAM: conceptualization, supervision.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.