Impact of timing of ventriculoperitoneal shunt placement on outcome in posttraumatic hydrocephalus

Journal of Neurosurgery
Robert G KowalskiAndrew J Olsen

Abstract

OBJECTIVE Posttraumatic hydrocephalus (PTH) is a frequent sequela of traumatic brain injury (TBI) and complication of related cranial surgery. The roles of PTH and the timing of cerebrospinal fluid (CSF) shunt placement in TBI outcome have not been well described. The goal of this study was to assess the impact of hydrocephalus and timing of ventriculoperitoneal (VP) shunt placement on outcome during inpatient rehabilitation after TBI. METHODS In this cohort study, all TBI patients admitted to Craig Hospital between 2009 and 2013 were evaluated for PTH, defined as ventriculomegaly, and hydrocephalus symptoms, delayed or deteriorating recovery, or elevated opening pressure on lumbar puncture. Extent of ventriculomegaly was quantified by the Evans index from CT scans. Outcome measures were emergence from and duration of posttraumatic amnesia (PTA) and functional status as assessed by means of the Functional Independence Measure (FIM). Findings in this group were compared to findings in a group of TBI patients without PTH (controls) who were admitted for inpatient rehabilitation during the same study period and met specific criteria for inclusion. RESULTS A total of 701 patients were admitted with TBI during the study period. Of t...Continue Reading

References

Nov 1, 1979·The Journal of Nervous and Mental Disease·H S LevinR G Grossman
Jul 1, 1976·Clinical Radiology·T D HawkinsR Hanka
Feb 1, 1988·Annals of Emergency Medicine·A S FleischerH Meislin
Mar 1, 1985·Surgical Neurology·E R Cardoso, S Galbraith
Dec 1, 1983·Journal of Neurology, Neurosurgery, and Psychiatry·C A MeyersF C Guinto
Dec 1, 1996·Archives of Physical Medicine and Rehabilitation·K J OttenbacherR C Fiedler
Jun 18, 1998·Archives of Physical Medicine and Rehabilitation·W T JacksonR N Dowler
Feb 15, 2000·Neurological Research·L L Guyot, D B Michael
Nov 26, 2003·Archives of Physical Medicine and Rehabilitation·Letizia MazziniGiuseppe Oliveri
Feb 10, 2006·Neuroscience Letters·F SchothT Krings
Aug 9, 2006·Biological Psychiatry·Monte S BuchsbaumJack Gorman
Aug 21, 2007·Surgical Neurology·Heng-Li TianLiang-Fu Zhou
May 9, 2008·Neurologia Medico-chirurgica·Masatsune IshikawaHiroshi Koyama
Nov 11, 2008·Journal of Neurosurgery·Andrew TarnarisLaurence D Watkins
Dec 20, 2008·Journal of Korean Neurosurgical Society·Il ChoiBark-Jang Byun
Sep 4, 2010·Journal of Neurotrauma·Pasquale De BonisCarmelo Anile
Jan 12, 2011·Neurosurgery·Ahmed K TomaLaurence D Watkins
Feb 26, 2011·Fluids and Barriers of the CNS·Mark E WagshulJoseph R Madsen
Mar 11, 2011·Nature Reviews. Neurology·Darran Yates
Mar 31, 2011·NeuroRehabilitation·Erin D Bigler, William L Maxwell
May 11, 2011·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Zoltan DenesGabor Fazekas
Aug 23, 2011·Vaccine·Lucy B Rorke-AdamsRosemary Johann-Liang
Dec 20, 2011·European Neurology·Hyeok Gyu Kwon, Sung Ho Jang
May 19, 2012·Clinical Neurology and Neurosurgery·Pasquale De BonisCarmelo Anile
Mar 25, 2014·Journal of Neurosurgery·Juneyoung HeoHyung-Ki Park
Apr 18, 2014·International Medical Case Reports Journal·Hsiao-Yue Wee, Jinn-Rung Kuo

❮ Previous
Next ❯

Citations

Mar 14, 2019·Translational Stroke Research·Syed M AdilShivanand P Lad
Apr 2, 2020·Fluids and Barriers of the CNS·Afroditi D LalouZofia Czosnyka
Jun 3, 2020·Journal of Neurotrauma·Hisse ArntsPepijn van den Munckhof
Aug 21, 2021·British Journal of Neurosurgery·Teodor Svedung WettervikPer Enblad

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.