Clinical study of 40 cases with chronic hydrocephalus after traumatic subarachnoid hemorrhage

VernacularTitle:外伤性蛛网膜下隙出血后慢性脑积水40例临床研究
Author: Xuefeng WEI ; Liu YANG ; Kang FENG
Publication Type:Journal Article
Keywords: Hydrocephalus; Subarachnoid hemorrhage; Traumatic; Therapy
From: Chinese Journal of Postgraduates of Medicine 2014;37(13):17-19
CountryChina
Language:Chinese
Abstract: Objective To discuss the clinical features and treatment methods of chronic hydrocephalus after traumatic subarachnoid hemorrhage.Methods A total of 40 cases of chronic hydrocephalus after traumatic subarachnoid hemorrhage were analyzed retrospectively.Results Eight cases improved after treatment of non-operation,the lateral ventricle external drainage was done in 32 cases of chronic hydrocephalus.Shunt tube obstruction occurred in 3 patients,with abdominal,subcutaneous and intracranial infection.The shunting operation device was pulled out and the 3 patients received operation for the second time.Two cases appeared intracranial hemorrhage,and the hemorrhage was absorbed after conservative treatment.Total Glasgow prognosis score was good in 32 cases,with mild disability in 5 cases,moderate disability in 2 cases and severe disability in 1 case.Conclusions Traumatic subarachnoid hemorrhage after chronic hydrocephalus should be early diagnosed and early treated,CT and MRI scan is the effective means to the diagnosis and differentiaion.The lateral ventricle external drainage is good method in treatment.