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

Autor: Xiaolei Li, Yuangang Wang, Bin Xia, Hongmin Che, Zhongnan Yan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Surgery, Vol 11 (2024)
Druh dokumentu: article
ISSN: 2296-875X
DOI: 10.3389/fsurg.2024.1368493
Popis: 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
Databáze: Directory of Open Access Journals