The Kakarla classification was published by Kakarla et al. in 2008[^1] and is used to classify the position of external ventricular drains into three different grades.
Classification
Kakarla Grade | Position designation | EVD position |
Grade I | Optimal position | Ipsilateral frontal horn and tip in the third ventricles |
Grade II | Suboptimal position in non-eloquent brain tissue | Contralateral Lateral ventricle, Corpus callosum, or Interhemispheric fissure. |
Grade III | Suboptimal position in eloquent brain tissue | Brainstem, Cerebellum, Internal capsule, Basal ganglia, Thalamus, occipital cortex, basal cisterns. |