Risk factors of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage.
- Author:
Jun SHAO
1
;
Gao CHEN
1
;
Hua HU
1
;
Xiang-dong ZHU
1
;
Jin XU
1
;
Lin WANG
1
;
Zhen WANG
1
;
Qiang HU
1
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aneurysm, Ruptured; complications; Arteriovenous Shunt, Surgical; adverse effects; Female; Humans; Hydrocephalus; etiology; prevention & control; Intracranial Aneurysm; complications; Male; Middle Aged; Retrospective Studies; Risk Factors; Subarachnoid Hemorrhage; etiology; surgery
- From: Journal of Zhejiang University. Medical sciences 2014;43(1):71-76
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate risk factors for the occurrence of shunt-dependent hydrocephalus in patients with aneurysmal subarachnoid hemorrhage (aSAH).
METHODSA 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.
RESULTSOf 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.
CONCLUSIONThe 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.
