Computed tomography in the evaluation of incidence and significance of post-traumatic hydrocephalus.

Gudeman, Steven K.; Kishore, P. R. S.; Becker, D. P.; Lipper, Maurice H.; Girevendulis, A. K.; Jeffries, B F; Butterworth, John F.

doi:10.1148/radiology.141.2.6974874

Cited by 61 publications

(31 citation statements)

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“…It has been found that SAH is most important pathology leading to the development of PTH. (13,16) While in our study most common finding was SDH in 15 (42.8%) patients and SAH in 9 (25.9.%). PTH most commonly developed in patients those underwent decompressive craniectomy for acute subdural hematoma SDH.…”

Section: Resultssupporting

confidence: 44%

Posttraumatic hydrocephalus: Lessons learned from management and evaluation at a tertiary institute with review of literature

Kumar¹,

Kumar²,

Jaiswal³

et al. 2017

Romanian Neurosurgery

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Abstract:Background: Post traumatic hydrocephalus (PTH) is a commonest treatable complication of severe traumatic brain injury that's leads to failure of improvement and worsening of the outcome. Incidence of posttraumatic hydrocephalus is 0.7%-29% reported in different literature. We have observed the development of PTH frequently seen in patients with severe head injury and after decompressive craniectomy (DC). Pathophysiology includes inflammatory changes and adhesion of arachnoid granulation, cerebral ischemia and alteration in cerebrospinal fluid (CSF) dynamics. We studied 35 cases of PTH diagnosed and treated at our institute from May 2008 to May 2017. Material and methods: This is hospital based retrospective and prospective study conducted in tertiary center on the basis of neuro-radiological examination of the patient. Clinical biodata and radiological profile of the patients was studied at initial presentation with trauma, and when the patient worsened with symptoms of raised intracranial pressure (ICP) in state of established PTH. These cases were treated by medium pressure ventriculoperitoneal shunt (V.P shunt) and outcome was evaluated. Results: Incidence of PTH in our study is (2.3%). Out of 35 cases 24 (68.57%) were male and 11(31.4%) were female. Road traffic accident (RTA) was the most common mode of injury (82.85%), acute subdural hematoma (SDH) was the most common finding on C.T scan in 15 cases (42.8 %). Decompressive craniectomy was performed in 77% at time of initial trauma. PTH had favourable outcome with V.P. shunting in 91.42%. Conclusion: Patients with traumatic brain injury present with many complications but PTH is most frequent sequeale that can present in form of various neurological symptoms after trauma and decompressive craniectomy. C.T. scan brain is the investigation of choice for diagnosis of PTH. Outcome was favourable after V.P. shunt in PTH.

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Section: Resultssupporting

confidence: 44%

Posttraumatic hydrocephalus: Lessons learned from management and evaluation at a tertiary institute with review of literature

Kumar¹,

Kumar²,

Jaiswal³

et al. 2017

Romanian Neurosurgery

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“…The incidence of symptomatic PTH ranges from 0.7%-29% 3,9) . However, if the CT criteria of ventriculomegaly was used, the incidence has been reported to range from 30%-86% 8,18) . A wide variety of clinical and radiological diagnostic criteria have been suggested for PTH 9,12) .…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of PTH ranges from 0.7-86% 3,8,9,18) . Differences in diagnostic criteria and classification have contributed to the variation in reported incidence.…”

Section: Introductionmentioning

confidence: 99%

Clinical Factors for the Development of Posttraumatic Hydrocephalus after Decompressive Craniectomy

Choi

Park

Chang

et al. 2008

J Korean Neurosurg Soc

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“…The exceptions are patients who develop secondary complications such as hydrocephalus [26] or who have undetected brainstem lesions [1 9]. Another group where a clear trend is seen are patients who have both intra-and extraparenchymal lesions on CT; 67% of these patients have a poor outcome [22] We decided not to use other factors such as bilateral, midline, and brainstem lesions, because, although these were found to have a profound effect on outcome, too few were present in our series to convey any statistical significance.…”

Section: Methodsmentioning

confidence: 99%

Computed tomography in the prediction of outcome in head injury

Lipper¹,

Kishore²,

Enas³

et al. 1985

American Journal of Roentgenology

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words. Serial CT was performed on admission and 3-5 days, 2 weeks, 3 months, and I year after injury. A scale of severity of abnormalities was devised taking into account the size of the traumatic lesions on CT. The CT findings using the proposed scale were correlated with the clinical outcome and analyzed using linear logistic regression.Other characteristics such as midline shift, multiplicity, and corpus callosum and brainstem lesions were not included in the analysis either because they did not affect the prognosis or because too few of these lesions were present for statistical analysis. The correct prediction rate of outcome using the proposed scale for CT findings alone was found to be 69.7%. When CT findings were combined with the Glasgow Coma Scale score this rate was increased to 75.8%.

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Computed tomography in the evaluation of incidence and significance of post-traumatic hydrocephalus.

Cited by 61 publications

References 0 publications

Posttraumatic hydrocephalus: Lessons learned from management and evaluation at a tertiary institute with review of literature

Posttraumatic hydrocephalus: Lessons learned from management and evaluation at a tertiary institute with review of literature

Clinical Factors for the Development of Posttraumatic Hydrocephalus after Decompressive Craniectomy

Computed tomography in the prediction of outcome in head injury

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