Effect of Cisternal Drainage on the Shunt Dependency Following Aneurysmal Subarachnoid Hemorrhage

被引:4
作者
Kim, Sung Hun [1 ]
Chung, Pil-Wook [2 ]
Won, Yu Sam [3 ]
Kwon, Young Joon [3 ]
Shin, Hyun Chul [3 ]
Choi, Chun Sik [3 ]
机构
[1] Kangwon Natl Univ, Coll Med, Dept Neurol, Chunchon, South Korea
[2] Sungkyunkwan Univ, Sch Med, Kangbuk Samsung Hosp, Dept Neurol, Seoul 110746, South Korea
[3] Sungkyunkwan Univ, Sch Med, Dept Neurosurg, Kangbuk Samsung Hosp, Seoul 110746, South Korea
关键词
Aneurysmal subarachnoid hemorrhage; Acute hydrocephalus; Shunt-dependent chronic hydrocephalus; Old age; Intraventricular hemorrhage; RUPTURED INTRACRANIAL ANEURYSMS; CEREBROSPINAL-FLUID CIRCULATION; ACUTE HYDROCEPHALUS; CEREBRAL VASOSPASM; ELDERLY-PATIENTS; INTRAVENTRICULAR HEMORRHAGE; INDEPENDENT PREDICTORS; LUMBAR DRAINAGE; EARLY OPERATION; SURGERY;
D O I
10.3340/jkns.2012.52.5.441
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective : Shunt-dependent chronic hydrocephalus (SDCH) is known to be a major complication associated with aneurysmal subarachnoid hemorrhage (aSAH). Old age is known to be one of numerous factors related to the development of SDCH. This study investigated whether postoperative cisternal drainage affects the incidence of SDCH and clinical outcome in elderly patients with aSAH. Methods : Fifty-nine patients participated in this study. All patients underwent aneurysmal clipping with cisternal cerebrospinal fluid (CSF) drainage. Clinical variables relevant to the study included age, sex, location of ruptured aneurysm, CT finding and clinical state on admission, clinical outcome, and CSF drainage. We first divided patients into two groups according to age (<70 years of age and >= 70 years of age) and compared the two groups. Secondly, we analyzed variables to find factors associated with SUCH in both groups (<70 years of age and >= 70 years of age). Results : Of 59 patients, SDCH was observed in 20 patients (33.9 %), who underwent shunt placement for treatment of hydrocephalus. Forty seven percent of cases of acute hydrocephalus developed SUCH. In the elderly group (>= 70 years of age), the duration and amount of CSF drainage did not affect the development of chronic hydrocephalus. Conclusion : In elderly patients, although the incidence of SDCH was significantly higher, clinical outcome was acceptable. The duration and the amount of cisternal drainage did not seem to be related to subsequent development of chronic hydrocephalus within elderly patients aged 70 or older.
引用
收藏
页码:441 / 446
页数:6
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