Risk factors of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
;
(6): 71-76, 2014.
Artigo
em Chinês
| WPRIM
| ID: wpr-251719
ABSTRACT
<p><b>OBJECTIVE</b>To investigate risk factors for the occurrence of shunt-dependent hydrocephalus in patients with aneurysmal subarachnoid hemorrhage (aSAH).</p><p><b>METHODS</b>A cohort of 136 consecutive patients who were treated for ruptured aneurysms within 72 h after onset of aSAH from January 2011 to January 2013 were retrospectively analyzed. Lumbar drainage was performed during the surgery in all patients. The risk factors of shunt-dependent hydrocephalus were analyzed.</p><p><b>RESULTS</b>Of 136 patients, 23 (16.91%) underwent shunt operation to treat shunt-dependent hydrocephalus. Univariate analysis showed that Hunt-Hess grade at admission (P<0.01), Fisher grade (P<0.01), the presence of intraventricular hemorrhage (P<0.01), location of ruptured aneurysm (P=0.001), and the average daily volume of cerebrospinal fluid drainage (CSF) (P=0.047) were associated with shunt-dependent hydrocephalus.</p><p><b>CONCLUSION</b>The aSAH patients with poor Hunt-Hess grade at admission, high Fisher grade, the presence of intraventricular hemorrhage, ruptured aneurysm in posterior circulation, and abnormal average daily volume of CSF are more likely to develop shunt-depended hydrocephalus.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Hemorragia Subaracnóidea
/
Cirurgia Geral
/
Derivação Arteriovenosa Cirúrgica
/
Aneurisma Intracraniano
/
Estudos Retrospectivos
/
Fatores de Risco
/
Aneurisma Roto
/
Hidrocefalia
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Journal of Zhejiang University. Medical sciences
Ano de publicação:
2014
Tipo de documento:
Artigo
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