Review of the Prevention and Treatment of Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage

Li, Yuhong

doi:10.1016/j.wneu.2022.08.089

Cited by 7 publications

(4 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is a life-threatening condition with a high incidence rate of 2–32 cases per 100,000 populations annually and is more commonly observed in individuals older than 50 years ( 1 , 2 ). Although the occurrence of aSAH is comparatively lower than that of other cerebrovascular diseases, delayed neurological dysfunction develops in 30%–50% of aSAH survivors, leading to reduced quality of life (QOL) and augmented socioeconomic burden ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have shown that acute hydrocephalus is caused by blockage of cerebrospinal fluid (CSF) outflow from the ventricular system, whereas chronic hydrocephalus is associated with arachnoid granulations and fibrosis of the leptomeninges caused by aSAH. Clinically, acute hydrocephalus is typically treated with external ventricular drainage, and chronic hydrocephalus is mostly treated with shunted CSF drainage ( 3 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Lumboperitoneal shunt and ventriculoperitoneal shunt for chronic hydrocephalus after aneurysmal subarachnoid hemorrhage: a comparison

Li,

Wang,

Xia

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

ObjectiveChronic hydrocephalus after aneurysmal subarachnoid hemorrhage (aSAH) results in poor neurological outcomes and cognitive deficits. Currently, the main treatments for chronic hydrocephalus include ventriculoperitoneal shunt (VPS) and lumboperitoneal shunt (LPS); however, the optimal treatment for chronic hydrocephalus after aSAH remains controversial.MethodThe records of 82 patients were retrospectively analyzed, and the patients were divided into VPS and LPS groups based on surgical methods. The efficacy, shunt successful rate and complications were compared. The assessments of treatment efficacy included the Evans index score (EIS), Keifer's hydrocephalus score (KHS), Mini-Mental State Examination (MMSE) score and functional independence measure (FIM). Patients were followed up for three months to observe the postoperative curative effects and complications.ResultsThe rate of shunt obstruction was significantly higher in the LPS group than that in the VPS group (p < 0.05), and the shunt successful rate was significantly higher in the VPS group than that in the LPS group (p < 0.05). The total rate of complications was 24.4% for LPS and 39% for VPS. The improvements in EIS, KHS, MMSE, and FIM within each group after the shunt were significantly different compared to those before shunt (p < 0.05). Compared to those in the LPS group, the improvements in EIS, KHS, MMSE, and FIM were significantly different in the VPS group after shunt (p < 0.05).ConclusionCompared with LPS, VPS in the treatment for chronic hydrocephalus after aSAH had greater therapeutic efficacy, as indicated by improved radiological outcomes, improved shunt successful rate, improved clinical outcomes, and improved quality of life. Therefore, we believe that VPS is the preferred treatment option for chronic hydrocephalus after aSAH, while LPS should only be used as an alternative to VPS.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lumboperitoneal shunt and ventriculoperitoneal shunt for chronic hydrocephalus after aneurysmal subarachnoid hemorrhage: a comparison

Li,

Wang,

Xia

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

show abstract

“…In general, the incidence of chronic hydrocephalus in patients with ICH is reported to be lower than that in patients with aneurysmal subarachnoid hemorrhage (SAH) [9,12,13]. However, predictors of hydrocephalus as they are available in SAH patients are lacking [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Predicting the need for a cerebrospinal fluid Shunt implantation after spontaneous Intracerebral Hemorrhage: A challenging task

Khalaveh

Zeiser

Cho

et al. 2023

Preprint

View full text Add to dashboard Cite

OBJECTIVE The development of persistent hydrocephalus in patients after spontaneous intracerebral hemorrhage (ICH) is still poorly understood and many variables predicting the need for a cerebrospinal fluid (CSF)-shunt have been described in the literature with varying results. The aim of this study is to find predictive factors for shunt dependency. METHODS We performed a retrospective, single-center study of 99 neurosurgically treated patients with spontaneous ICH. Variables, including age, Glasgow Coma Scale (GCS), intraventricular hemorrhage (IVH), location of hemorrhage, acute hydrocephalus and volumetric analysis of IVH, ICH and intraventricular CSF were compared between patients with and without CSF-shunt implantation. Furthermore, receiver operating characteristics (ROC) for ICH, IVH and intraventricular CSF volume parameters were calculated. RESULTS CSF-shunt implantation was performed significantly more often in patients after thalamic (p=0.03) and cerebellar ICH (p=0.04). Moreover, a lower ratio between the total hemorrhage volume and intraventricular CSF volume (p=0.007), a higher IVH distribution in the third ventricle and an acute hydrocephalus (p<0.001) with an increased intraventricular CSF volume (p<0.001) were associated with shunt dependency. Our ROC model demonstrated a sensitivity of 82% and a specificity of 65% to predict the necessity for a shunt at a cutoff-value of 1.9 with an AUC of 0.835.  CONCLUSIONS Volumetric analysis of ICH, IVH and intraventricular CSF may improve the prediction of CSF shunt implantation in patients with spontaneous ICH.

show abstract

“…In general, the incidence of chronic hydrocephalus in patients with ICH is reported to be lower than that in patients with aneurysmal subarachnoid hemorrhage (SAH) (9,12,13). However, predictors of hydrocephalus, as they are available in SAH patients, are lacking (6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Predicting the need for cerebrospinal fluid shunt implantation after spontaneous intracerebral hemorrhage: a challenging task

Khalaveh,

Zeiser,

Cho

et al. 2023

Front. Neurol.

View full text Add to dashboard Cite

ObjectivesThe development of persistent hydrocephalus in patients after spontaneous intracerebral hemorrhage (ICH) is still poorly understood, and many variables predicting the need for a cerebrospinal fluid (CSF)-shunt have been described in the literature with varying results. The aim of this study is to find predictive factors for shunt dependency.MethodsWe performed a retrospective, single-center study of 99 neurosurgically treated patients with spontaneous ICH. Variables, including age, Glasgow Coma Scale (GCS), intraventricular hemorrhage (IVH), location of hemorrhage, acute hydrocephalus, and volumetric analysis of IVH, ICH, and intraventricular CSF were compared between patients with and without CSF-shunt implantation. Furthermore, receiver operating characteristics (ROC) for ICH, IVH, and intraventricular CSF volume parameters were calculated.ResultsCSF-shunt implantation was performed significantly more often in patients after thalamic (p = 0.03) and cerebellar ICH (p = 0.04). Moreover, a lower ratio between the total hemorrhage volume and intraventricular CSF volume (p = 0.007), a higher IVH distribution in the third ventricle, and an acute hydrocephalus (p < 0.001) with an increased intraventricular CSF volume (p < 0.001) were associated with shunt dependency. Our ROC model demonstrated a sensitivity of 82% and a specificity of 65% to predict the necessity for a shunt at a cutoff value of 1.9 with an AUC of 0.835.ConclusionVolumetric analysis of ICH, IVH, and intraventricular CSF may improve the prediction of CSF shunt implantation in patients with spontaneous ICH.

show abstract

Review of the Prevention and Treatment of Hydrocephalus After Aneurysmal Subarachnoid Hemorrhage

Cited by 7 publications

References 39 publications

Lumboperitoneal shunt and ventriculoperitoneal shunt for chronic hydrocephalus after aneurysmal subarachnoid hemorrhage: a comparison

Lumboperitoneal shunt and ventriculoperitoneal shunt for chronic hydrocephalus after aneurysmal subarachnoid hemorrhage: a comparison

Predicting the need for a cerebrospinal fluid Shunt implantation after spontaneous Intracerebral Hemorrhage: A challenging task

Predicting the need for cerebrospinal fluid shunt implantation after spontaneous intracerebral hemorrhage: a challenging task

Contact Info

Product

Resources

About