Hydrocephalus and Vasospasm after Subarachnoid Hemorrhage from Ruptured Intracranial Aneurysms

Izawa, Ichiro; Korosue, Kazuyoshi; Hamano, Seiji; Nagao, Yoshinori; Tamaki, Norihiko; Matsumoto, Satoshi

doi:10.1007/978-3-662-11155-0_109

Cited by 5 publications

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“…The absorption of the CSF is mainly accomplished by Pacchionian granulations, and the remaining CSF is absorbed by the capillaries of the brain via extracellular space within the parenchyma, thus establishing the major and minor CSF pathways, respectively (16,22,28,40).…”

Section: Acute Hydrocephalusmentioning

confidence: 99%

“…In general, hydrocephalus is caused by obstructive mechanisms as a consequence of blood products or adhesions that block CSF circulation within ventricles and cisterns or of impairment of CSF absorption at the arachnoid granulations (9,12,13,18,37). More recently, some authors have emphasized the role of the capillaries of the brain in the absorption of CSF and pathophysiology of hydrocephalus (16,22,28,40).…”

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confidence: 99%

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Risk of Shunt-Dependent Hydrocephalus After Occlusion of Ruptured Intracranial Aneurysms by Surgical Clipping or Endovascular Coiling

et al. 2007

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Section: Acute Hydrocephalusmentioning

confidence: 99%

mentioning

confidence: 99%

Risk of Shunt-Dependent Hydrocephalus After Occlusion of Ruptured Intracranial Aneurysms by Surgical Clipping or Endovascular Coiling

et al. 2007

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“…Vasospasm was seen in 12.2% of ruptured aneurysm. In a study by I Izawa 16 acute hydrocephalus, and delayed vasospasm occurred in 29% and 7% respectively. In studies by Hussein and McClelland 17,18 , meningitis following craniotomy was seen in 0.3%-8.6%.…”

Section: Discussionmentioning

confidence: 94%

Clinical and Radiological Profile and Early Outcome of Skull Base Surgeries in a Tertiary Care Center in Eastern Nepal

Kafle¹,

Yadav²,

Khanal³

et al. 2022

Nep J Neurosci

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Background: Surgery of the skull base is challenging due to its complex anatomy and relative inaccessibility. Surgical anatomy and approaches to the cranial base have been well described in the neurosurgical literature. Method: This is an analytical observational study consecutively treated from November 2019 to October 2021 at Nobel medical college teaching hospital, Biratnagar, Nepal. Clinical, radiological, intraoperative ad outcome data were retrieved through the chart review and prospectively collected computer database of the neurosurgery department. The outcome was accessed using mRS. Data was analyzed using Statistical Package for the Social Sciences (SPSS) 25th version. Mean, median, percentage were analyzed. Chi-squared test was used to find out association between two populations for categorical variables. Logistic regression analysis was used to analyze preoperative selected variables and outcome. Outcome was assessed at discharge and in six months. Results: A total of 61 cases were included in the study. There was a female preponderance in 73.8%. The mean age of the study population was 48.5 years. Headache was the most common presenting feature (45.9%) followed by loss of consciousness (21.3%). In the present study, 33(54%) had aneurysms, and 25(40.9%) had brain tumors. The most common approach was anterolateral 67.2% The most common complication observed was hydrocephalus (8.1%). The median duration of hospital stay was 12 days. The obese patients had significantly longer hospital stays (15 days). At discharge, a favorable outcome (mRS grade ≤ 2) was observed in 83.6%. The preoperative Glasgow coma scale (GCS) was significantly associated with the outcome. Conclusion: Proper pre-operative evaluation and selection of appropriate approaches for the particular patients are key to achieving a good outcome in skull base surgery. The outcome is directly related to preoperative GCS and obese patients tend to have a longer hospital stay.

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“…In this study of only modified Fisher grades III and IV aneurysmal SAH, patients with SDHC also have a significantly poorer functional outcome than those without SDHC. Hydrocephalus is usually due to blockage of CSF outflow in the ventricle or the subarachnoid space of the brain [1,2]. However, the causes of chronic hydrocephalus in SAH remain uncertain.…”

Section: Discussionmentioning

confidence: 99%

Intrathecal lactate predicting hydrocephalus after aneurysmal subarachnoid hemorrhage

Wang

Tang

Lee

et al. 2015

Journal of Surgical Research

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Hydrocephalus and Vasospasm after Subarachnoid Hemorrhage from Ruptured Intracranial Aneurysms

Cited by 5 publications

References 0 publications

Risk of Shunt-Dependent Hydrocephalus After Occlusion of Ruptured Intracranial Aneurysms by Surgical Clipping or Endovascular Coiling

Risk of Shunt-Dependent Hydrocephalus After Occlusion of Ruptured Intracranial Aneurysms by Surgical Clipping or Endovascular Coiling

Clinical and Radiological Profile and Early Outcome of Skull Base Surgeries in a Tertiary Care Center in Eastern Nepal

Intrathecal lactate predicting hydrocephalus after aneurysmal subarachnoid hemorrhage

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