Prognosis and treatment of acute hydrocephalus following aneurysmal subarachnoid haemorrhage

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Jingjing LuXingquan Zhao

Abstract

The aim of this study was to determine the rate of acute hydrocephalus in patients with aneurysmal subarachnoid haemorrhage (SAH) and evaluate its clinical prognosis and treatment options. We recruited 152 patients who had ruptured cerebral aneurysms between 2006 and 2010. Sequential CT scans were performed 24-72 hours after haemorrhage to examine the development of acute hydrocephalus following aneurysmal SAH. If hydrocephalus was present but the patient's condition was stable, the patient was closely monitored for 48 hours before undergoing a repeat CT scan to evaluate ventricular changes. To exclude aneurysm rebleeding, repeat CT scans were performed frequently in patients who continued to deteriorate clinically, and external ventricular drainage was performed if the deterioration was due to worsening hydrocephalus. In clinically stable patients with persistent hydrocephalus and patients with external ventricular drainage, lamina terminalis fenestration was performed during aneurysm clipping, and the procedure's therapeutic efficacy was evaluated at the postoperative follow-up. The overall incidence of acute hydrocephalus following aneurysmal SAH was 17.8% (27/152). Of these patients, 29.6% (eight of 27) recovered spontaneou...Continue Reading

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Citations

Oct 3, 2015·World Neurosurgery·Michael K TsoR Loch Macdonald
Jun 30, 2015·Diagnostic and Interventional Imaging·F DanièreV Costalat
Jan 22, 2015·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Yuhua LvGe Tan
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Dec 20, 2020·Clinical Neurology and Neurosurgery·Rabih AboukaïsJean-Paul Lejeune
May 15, 2021·BMC Neurology·Elisa Gouvêa BogossianFabio Silvio Taccone
May 17, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Hidenori OhbuchiHidetoshi Kasuya

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