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Kocher's point

From Wikipedia, the free encyclopedia
Kocher’s point

Kocher's point is a common entry point through the frontal bone for an intraventricular catheter to drain cerebrospinal fluid from the anterior horn of the lateral ventricle (usually the right-sided one). It is located 2.5 centimeters (1 inch) lateral to the midline (at approximately the mid-pupillary line) and approximately 11 cm posterior to the nasion, or 10 cm posterior from the glabella.[1] During cannulation of the lateral ventricle, Kocher's point is landmarked as a point of entry, and care must be taken to be at least 1 cm anterior to the coronal suture to avoid damaging the primary motor cortex (the "motor strip").[2] It is most often used to remove cerebrospinal fluid for the treatment of hydrocephalus.

See also

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References

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  1. Taylor, Dennis A.; Sherry, Scott P.; Sing, Ronald F. (2016). Interventional Critical Care: A Manual for Advanced Care Practitioners. Springer. p. 209. ISBN 9783319252865. Retrieved 17 January 2018.
  2. Schwab, Stefan; Hanley, Daniel; Mendelow, A. David (2014). Critical Care of the Stroke Patient. Cambridge University Press. p. 148. ISBN 9780521762564.