PMID: 16640183Apr 28, 2006Paper

Hydrocephalic risk factors after spontaneous subarachnoidal haemorrhaging of aneurysmal aetiology

Srpski arhiv za celokupno lekarstvo
Vladimir JovanoviMilos Janićijević

Abstract

Hydrocephalus is one of the most significant complications of spontaneous subarachnoidal haemorrhaging that can be treated surgically. We analysed risk factors that caused spontaneous subarachnoidal haemorrhaging. Patients were divided into two groups: shunt-dependent and shunt-independent. We retrospectively analysed 174 patients (63 men and 111 women), surgically treated at the Institute of Neurosurgery of Clinical Centre of Serbia in the period from January 2002 to January 2004. The prevalence of hydrocephalus in patients with a shunt (shunt-dependent) was most significant in women (18%:9.5%), but not statistically significant (p > 0.05). Concerning the significance of age (years), we found that hydrocephalus in patients with a shunt was most significant in older patients (p < 0.025). The HiH and Fisher gradings were not statistically significant in our study (p > 0.05%). In patients with intraventricular haemorrhaging (29.3%:10.5%) and vasospasms (34.6%:6.5%), the prevalence of shunt-dependent hydrocephalus was statistically very significant (p < 0.005; p < 0.001). The frequency of ventriculomegalia in the initial CT scan was greater for patients with a confirmed diagnosis, but of no statistical significance (p > 0.05). The...Continue Reading

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