SynthesisBrain and behavior2026
Neuroendoscopy Versus External Ventricular Drainage for Thalamic Hemorrhagic Stroke: A Systematic Review and Bayesian Meta-Analysis.
Synthesis in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
backgroundNeuroendoscopy and external ventricular drainage are commonly considered first-line options for managing thalamic hemorrhage. However, their effectiveness in reducing the risk of rebleeding remains unclear.
aimTo compare the efficacy and safety of neuroendoscopy versus external ventricular drainage through a systematic review and Bayesian meta-analysis of randomized and nonrandomized studies.
methodsWe searched PubMed, Embase, and Cochrane for randomized and nonrandomized studies comparing neuroendoscopy with external ventricular drainage in patients with spontaneous thalamic hemorrhage. Data analysis was conducted using a Bayesian random-effects model, with 95% credible intervals (CrI), estimating risk ratios for binary endpoints and mean differences for continuous endpoints.
resultsSix studies comprising 399 patients were included in the meta-analysis. Although the pooled analysis showed no significant difference between groups in rebleeding risk (RR 0.61, 95% CrI 0.26-1.46; I
conclusionIn patients with thalamic hemorrhage, neuroendoscopy was associated with a higher probability of reducing both rebleeding risk and the need for ventriculoperitoneal shunt compared with external ventricular drainage.
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