We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Predictors and outcomes of shunt-dependent hydrocephalus in patients with aneurysmal sub-arachnoid hemorrhage.
- Authors
Yi-Min Wang; Yu-Jun Lin; Ming-Jung Chuang; Tsung-Han Lee; Nai-Wen Tsai; Ben-Chung Cheng; Wei-Che Lin; Ben Yu-Jih Su; Tzu-Ming Yang; Wen-Neng Chang; Chih-Cheng Huang; Chia-Te Kung; Lian-Hui Lee; Hung-Chen Wang; Chen-Hsien Lu
- Abstract
Background: Hydrocephalus following spontaneous aneurysmal sub-arachnoid hemorrhage (SAH) is often associated with unfavorable outcome. This study aimed to determine the potential risk factors and outcomes of shunt-dependent hydrocephalus in aneurysmal SAH patients but without hydrocephalus upon arrival at the hospital.Methods: One hundred and sixty-eight aneurysmal SAH patients were evaluated. Using functional scores, those without hydrocephalus upon arrival at the hospital were compared to those already with hydrocephalus on admission, those who developed it during hospitalization, and those who did not develop it throughout their hospital stay. The Glasgow Coma Score, modified Fisher SAH grade, and World Federation of NeurosurgicalSocieties grade were determined at the emergency room. Therapeutic outcomes immediately after discharge and18 months after were assessed using the Glasgow Outcome Score.Results: Hydrocephalus accounted for 61.9% (104/168) of all episodes, including 82 with initial hydrocephalus on admission and 22 with subsequent hydrocephalus. Both the presence of intra-ventricular hemorrhage on admission and post-operative intra-cerebral hemorrhage were independently associated with shunt-dependent hydrocephalus in patients without hydrocephalus on admission. After a minimum 1.5 years of follow-up, the mean Glasgow outcome score was 3.33 ± 1.40 for patients with shunt-dependent hydrocephalus and 4.21 ± 1.19 for those without.Conclusions: The presence of intra-ventricular hemorrhage, lower mean Glasgow Coma Scale score, and higher mean scores of the modified Fisher SAH and World Federation of Neurosurgical grading on admission imply risk of shunt-dependent hydrocephalus in patients without initial hydrocephalus. These patients have worse short- and long-term outcomes and longer hospitalization.
- Subjects
HYDROCEPHALUS; SUBARACHNOID hemorrhage; CEREBRAL hemorrhage; GLASGOW Coma Scale; HEMORRHAGE
- Publication
BMC Surgery, 2012, Vol 12, Issue 1, p12
- ISSN
1471-2482
- Publication type
Article
- DOI
10.1186/1471-2482-12-12