Abstract
It was recently suggested that communicating hydrocephalus is an almost universal finding after hemicraniectomy and that early cranioplasty may prevent the need for permanent cerebrospinal fluid diversion in these patients. To conduct a study in an attempt to verify these findings. The medical records of all patients who underwent decompressive craniectomy for medically refractory elevated intracranial pressure between 2001 and 2009 were retrospectively reviewed. Patients with subarachnoid hemorrhage, intraventricular hemorrhage, or head trauma were excluded. Hydrocephalus was classified as internal or external and as clinically significant or asymptomatic. The patient population consisted of 17 patients, 8 men and 9 women, with a median age of 44 years (range, 27-53 years). Etiologies included malignant middle cerebral artery territory infarction in 12 patients, hemorrhagic transformation of ischemic cerebrovascular accident in 2 patients, dural sinus thrombosis in 2 patients, and hemorrhagic cerebrovascular accident in 1 patient. The extent of craniectomy ranged from a large bone flap in 4 patients to a standard hemicraniectomy in 13 patients. Two patients died and 1 was lost to follow-up during the acute stage. The remaining...Continue Reading
References
Jan 7, 2004·Stroke; a Journal of Cerebral Circulation·Rishi GuptaMitchell S V Elkind
Dec 25, 2004·Neurosurgery·Anthony L D'AmbrosioE Sander Connolly
Mar 29, 2005·Neurosurgery·Domenico La TorreFrancesco Tomasello
Aug 3, 2005·Acta Neurochirurgica. Supplement·E KellerY Yonekawa
Feb 3, 2007·Stroke; a Journal of Cerebral Circulation·Clemens M SchirmerAdel M Malek
Feb 17, 2007·Lancet Neurology·Katayoun VahediUNKNOWN DECIMAL, DESTINY, and HAMLET investigators
Jun 30, 2007·Journal of Neurotrauma·Magnus OlivecronaLars-Owe D Koskinen
Sep 21, 2007·Neurosurgery·Allen WaziriE Sander Connolly
Oct 2, 2008·Journal of Neurosurgery·Matthias H MorgallaMarcos Tatagiba
Apr 18, 2009·Stroke; a Journal of Cerebral Circulation·Jonathan M CoutinhoJan Stam
Citations
Jun 12, 2013·Nature Reviews. Neurology·Angelos G KoliasPeter J Hutchinson
Dec 29, 2011·Journal of Neurotrauma·Patrick SchussErdem Güresir
Feb 12, 2011·Neurosurgery·Satoru TakeuchiHiroshi Nawashiro
Mar 11, 2011·Neurosurgery·Pasquale De BonisCarmelo Anile
May 27, 2015·The International Journal of Neuroscience·Qiang-Ping WangChao You
Dec 26, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Satoru TakeuchiHiroshi Nawashiro
Jun 26, 2012·Clinical Neurology and Neurosurgery·Satoru TakeuchiKatsuji Shima
Dec 27, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Alexander E RopperWilliam B Gormley
Dec 2, 2015·Neurosurgical Review·U R Krause-TitzH M Mehdorn
Jun 10, 2015·Clinical Neurology and Neurosurgery·Hao XuYing Ji
Apr 23, 2015·Clinical Neurology and Neurosurgery·Luciano Santana-CabreraMarcos Granados Rodríguez
May 10, 2016·World Neurosurgery·Valeri BorgerErdem Güresir
Aug 9, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·James G MalcolmFaiz U Ahmad
Sep 18, 2016·Neurosurgery Clinics of North America·Hadie AdamsPeter J Hutchinson
Nov 6, 2015·Journal of Korean Neurosurgical Society·Hee Jong KiIl-Woo Lee
Sep 2, 2016·Neurosurgical Focus·Kaveh Barami
Sep 25, 2014·Arquivos de neuro-psiquiatria·Jun DingHengli Tian
Jan 8, 2011·Stroke; a Journal of Cerebral Circulation·Dimitre Staykov, Rishi Gupta
Nov 16, 2018·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S SunH Shi
Sep 16, 2019·Clinical Neurology and Neurosurgery·Ali RashidiMichael Luchtmann
May 12, 2018·World Neurosurgery·Guangfu DiHongyi Liu