Diagnostic and predictive factors of perioperative comorbidities in the treatment of hydrocephalus

Abstract

In tro duc tion: The ob jec tive of this study was to dem on strate the pre dic tive value and the presence of di ag nos tic comorbidity and perioperative fac tors in the out come of shunt sur gery for hydro ceph a lus. Meth ods : We ret ro spec tively an a lyzed a se ries of 32 pa tients who un der went sur gery for NTH on Neurosurgical Ser vice KBC Zemun in the 2006-2012 pe riod year. Di ag nos tic fac tors were an alyzed: clin i cal signs (gait dis tur bance, cog ni tive def icits and in con ti nence), Ev ans' in dex and lum bar punc ture. Perioperative comorbidity fac tors an a lyzed were: ar te rial hy per ten sion, di a be tes mellitus, and cerebrovascular in sult. Re sults: Of the to tal of 32 op er ated pa tients had gait dis tur bance, cog ni tive def i cits 24 and 23 uri nary incon ti nence. Im prov ing gait dis tur bance had 20, 13 had cog ni tive def i cits and 11 uri nary in con ti nence. Im prove ment of gait dis tur bance was sig nif i cantly differ ent (p<0.05) than the other two im prove clin i cal signs. Of the fac tors of perioperative comorbidities , hy per ten sion was the most com mon 24, with di a be tes mellitus showed a sta tis ti cally sig nif i cant pre dic tor of un fa vor able out come (p = 0.029). Con clu sions: gait dis tur bance proved to be the most com mon di ag nos tic NTH fac tor and the fac tor that has the best prog no sis in pa tients op er ated for NTH , while DM is the most com mon fac tor of perioperative comorbidities .