Risk factors related to incidence of shunt dependent hydrocephalus in patients with intracranial aneurysmal subarachnoid hemorrhage
10.3760/cma.j.issn.1671-8925.2018.06.011
- VernacularTitle:颅内动脉瘤性蛛网膜下腔出血患者并发分流依赖性脑积水的影响因素分析
- Author:
Jian YU
1
;
Ge GAO
;
Yang ZHANG
;
Yingjiu CHAO
;
Yu CHEN
;
Daqun GU
;
Jianjun WEI
;
Chaoshi NIU
;
Xianming FU
Author Information
1. 230001 合肥,安徽省立医院神经外科,脑功能与脑疾病安徽省重点实验室,安徽省脑立体定向神经外科研究所
- Keywords:
Intracranial aneurysm;
Subarachnoid hemorrhage;
Shunt dependent hydrocephalus;
Influencing factors
- From:
Chinese Journal of Neuromedicine
2018;17(6):600-604
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors related to incidence of shunt dependent hydrocephalus in patients with intracranial aneurysmal subarachnoid hemorrhage so as to provide guidance for clinical diagnosis and treatment.Methods The clinical data were retrospectively analyzed of the 451 patients who had been treated in our hospital for ruptured intracranial aneurysmal subarachnoid hemorrhage from January 2013 to December 2016.Of them,67 were complicated with shunt dependent hydrocephalus and 384 were not.The 2 groups were compared in terms of related clinical variables.Multivariate Logistic regression was conducted to analyze risk factors associated with incidence of shunt dependent hydrocephalus.Results The proportions of patients ＞60 years old,intraventricular hemorrhage,posterior circulation aneurysm,acute hydrocephalus and central nervous system infection were significantly higher in the patients with complicated shunt dependent hydrocephalus than in those without (P＜0.05).There were significant differences between the 2 groups in Hunt-Hess grade and Fisher grade at admission (P＜0.05).Multivariate Logistic regression analysis revealed that posterior circulation aneurysm,acute hydrocephalus and central nervous system infection were independent risk factors for incidence of shunt dependent hydrocephalus in patients with intracranial aneurysmal subarachnoid hemorrhage.Conclusion If the patients with intracranial aneurysmal subarachnoid hemorrhage are complicated with posterior circulation aneurysm,acute hydrocephalus and central nervous system infection,they are more likely to develop shunt dependent hydrocephalus.
