We read with interest the comprehensive study by Hoefnagel et al. [1] entitled "Risk factors for infections related to external ventricular drainage". Indeed, among various forms of intracranial pressure (ICP) monitors, ventriculostomy remains unique and the most ideal [2, 3]. It provides the neurosurgeon the option of therapeutic cerebrospinal fluid (CSF) drainage in addition to routine ICP monitoring [2], The enthusiasm for the use of external ventricular drains (EVD) has unfortunately been tempered by the increased risk of ventriculomeningitis [2].
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