Clinical Factors for the Development of Posttraumatic Hydrocephalus after Decompressive Craniectomy

Choi, Il Ju; Park, Hyung-Ki; Chang, Jae-Chil; Cho, Sung‐Jin; Choi, Soon-Kwan; Byun, B J

doi:10.3340/jkns.2008.43.5.227

Cited by 86 publications

(79 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Others defined hydrocephalus as progressive ventricular dilatation with trans-ependymal edema, together with (1) the presence of either clinical deterioration or failure to make neurological progress over time, and (2) some evidence of clinical improvement after insertion of a ventriculo-peritoneal shunt (V-P shunt). The incidence of hydrocephalus in these studies is low 9,11,15 . Rahme et al enrolled 17 patients in a retrospective study and found that the incidence of hydrocephalus after DC was 0% 9 .…”

Section: Incidence Of Hydrocephalus After DCmentioning

confidence: 98%

“…Choi et al reported that the size of DC is an influencing factor for hydrocephalus after TBI. They found that bilateral DC has a higher incidence of hydrocephalus than that of unilateral DC 15 . However, they did not use multivariate analysis.…”

Section: Mechanisms Of Hydrocephalus After DCmentioning

confidence: 99%

“…Rahme et al enrolled 17 patients in a retrospective study and found that the incidence of hydrocephalus after DC was 0% 9 . Choi et al reported a 23.6% occurrence of hydrocephalus after DC 15 . However, in another study, this percentage increased to 45% 11 .…”

Section: Incidence Of Hydrocephalus After DCmentioning

confidence: 99%

“…Other predictors for hydrocephalus after DC, such as delayed time to craniotomy 26 , repeated operation 15 , and duraplasity 37 , are not common. Thus, the risk factors for hydrocephalus remain controversial.…”

Section: Mechanisms Of Hydrocephalus After DCmentioning

confidence: 99%

“…The incidence of hydrocephalus varies from 0-45%, depending on the study 9,10,11,12,13 . Some authors believe that DC is a risk factor for hydrocephalus 14,15 , whereas others do not 9,11,12,16 . Thus, the relationship between DC and hydrocephalus remains controversial.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The influence of decompressive craniectomy on the development of hydrocephalus: a review

Ding

Guo

Huang

2014

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Decompressive craniectomy (DC) is widely used to treat intracranial hypertension following traumatic brain injury (TBI) or cerebral vascular disease. Many studies have discussed complications of this procedure, and hydrocephalus is a common complication of DC. To further evaluate the relationship between DC and hydrocephalus, a review of the literature was performed. Numerous complications may arise after DC, including contusion or hematoma expansion, epilepsy, herniation of the cortex through a bone defect, CSF leakage through the scalp incision, infection, subdural effusion, hydrocephalus and "syndrome of the trephined". Several hydrocephalus predictors were identified; these included DC, distance from the midline, hygroma, age, injury severity, subarachnoid or intraventricular hemorrhage, delayed time to craniotomy, repeated operation, and duraplasity. However, results differed among studies. The impact of DC on hydrocephalus remains controversial.Keywords: traumatic brain injury, hydrocephalus, decompressive craniectomy. RESUMOA craniectomia descompressiva (CD) é amplamente utilizada para tratar a hipertensão intracraniana após trauma craniencefálico (TC) ou doença cerebrovascular. Vários estudos discutem as complicações deste procedimento, sendo a hidrocefalia uma das complicações mais frequentes. Fizemos uma revisão da literatura para avaliar a relação entre a CD e a hidrocefalia. Podem ocorrer numerosas complicações após a CD, incluindo aumento de volume por contusão ou hematoma, epilepsia e herniação do cortex cerebral através do acesso ósseo. Fístulas liquóricas através a incisão no couro cabeludo, infecções, hematomas subdurais, hidrocefalia e a "síndrome pós-trepanação". Foram identificados vários fatores preditivos de hidrocefalia: a distância da CD em relação à linha média, a ocorrência de higroma, a idade, a gravidade da lesão, a hemorragia subaracnóidea ou intraventricular, o tempo decorrido até a craniectomia, as reoperações e o uso de plástica com dura-máter. Entretanto, há divergências entre os autores e o impacto da CD na hidrocefalia continua controvertido.Palavras-chave: trauma cranencefálico, hidrocefalia, craniectomia descompressiva.

show abstract