Predictors of shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage: a pilot study in a single Egyptian institute

HASHEM M. ABOUL-ELA; Ahmed Salah; Ahmed Salah; Mohamed Shehab; Ossama A. El Shahawy

doi:10.1186/s41983-018-0015-1

April 24, 2018The Egyptian Journal of Neurology Psychiatry and NeurosurgeryOpen Access

Predictors of shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage: a pilot study in a single Egyptian institute

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Key Points

To identify clinical and radiological predictors associated with the development of shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage.
Single-center pilot study evaluating patients presenting with aneurysmal subarachnoid hemorrhage.
Assessed clinical status using the Glasgow Coma Scale (GCS) and evaluated radiological parameters, including the Fisher grade, bicaudate index, and aneurysm location (ACoA and PCoA), relative to requirements for cerebrospinal fluid diversion and ventriculoperitoneal shunt placement.
Higher bicaudate index and aneurysm location in the anterior communicating artery (ACoA) or posterior communicating artery (PCoA) correlate with increased placement of ventriculoperitoneal shunts.
Patients with fair Glasgow Coma Scale scores are successfully managed conservatively, whereas clinical deterioration necessitates conversion to cerebrospinal fluid diversion; Fisher grade demonstrated no significant predictive value.

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Implication

Identifies higher bicaudate index and specific aneurysm locations as predictors of shunt dependency after subarachnoid hemorrhage, indicating criteria for cerebrospinal fluid diversion.

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ABOUL-ELA et al. (2018) studied this question.

synapsesocial.com/papers/69dd44d38557d5ab8f40c75e https://doi.org/10.1186/s41983-018-0015-1

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Predictors of shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage: a pilot study in a single Egyptian institute

Key Points

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Discussion

Cite This Study

Predictors of shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage: a pilot study in a single Egyptian institute

Key Points

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Abstract

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