Chronic hydrocephalus after neurosurgical and endovascular treatment of ruptured intracranial aneurysms
| Autor: | Osmo Tervonen, Tatu Koskelainen, Ari Karttunen, Juha-Matti Isokangas, Pekka Jartti, Airi Jartti |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Subarachnoid hemorrhage medicine.medical_treatment Aneurysm Ruptured Neurosurgical Procedures Aneurysm Postoperative Complications medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Embolization Aged Retrospective Studies Aged 80 and over Endovascular coiling Third ventricle Radiological and Ultrasound Technology business.industry Brain Sequela Intracranial Aneurysm General Medicine Clipping (medicine) Middle Aged Subarachnoid Hemorrhage medicine.disease Embolization Therapeutic Cerebrospinal Fluid Shunts nervous system diseases Hydrocephalus Surgery medicine.anatomical_structure Chronic Disease cardiovascular system Female Radiology business Tomography X-Ray Computed Follow-Up Studies |
| Zdroj: | Acta radiologica (Stockholm, Sweden : 1987). 49(6) |
| ISSN: | 1600-0455 |
| Popis: | Background: Chronic hydrocephalus is a common sequela of subarachnoid hemorrhage (SAH). The technical procedure used to treat intracranial aneurysms, whether neurosurgical clipping or endovascular coiling, may lead to differences in the incidence of chronic posthemorrhagic hydrocephalus. Purpose: To compare the effects of early neurosurgical and early endovascular treatment on the development of chronic hydrocephalus in patients with SAH. Material and Methods: A retrospective study included 102 clipped and 107 coiled patients with aneurysmal SAH. Clinical condition at admission and shunt dependence were verified from patient data records. The initial and follow-up computed tomography (CT) images were reviewed, and the amount and distribution of blood and the occurrence of hydrocephalus were registered. The values of the cella media index and the width of the third ventricle were calculated. Statistical analysis of the data was performed. Results: No statistically significant differences in the incidence of chronic hydrocephalus or the need for shunting emerged between the treatment groups. After clipping 35% and after coiling 39% of the patients developed chronic hydrocephalus. Twenty-nine percent of the clipped and 31% of the coiled patients underwent a shunt operation. Conclusion: The treatment method used for acutely ruptured intracranial aneurysms, i.e., neurosurgical clipping or endovascular coiling, has no statistically significant effect on the development of chronic hydrocephalus. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|