Factors Related to the Development of Shunt-Dependent Hydrocephalus Following Subarachnoid Hemorrhage in the Elderly
- Authors
- Jeong, T.S.; Yoo, C.J.; Kim, W.K.; Yee, G.T.; Kim, E.Y.; Kim, M.J.
- Issue Date
- Mar-2018
- Publisher
- Turkish Neurosurgical Society
- Keywords
- Aneurysm; Geriatrics; Hydrocephalus; Shunt; Subarachnoid hemorrhage
- Citation
- Turkish Neurosurgery, v.28, no.2, pp.226 - 233
- Journal Title
- Turkish Neurosurgery
- Volume
- 28
- Number
- 2
- Start Page
- 226
- End Page
- 233
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/4307
- DOI
- 10.5137/1019-5149.JTN.19752-16.1
- ISSN
- 1019-5149
- Abstract
- AIM: Surgical procedures for aneurysmal subarachnoid hemorrhage (SAH) are increasing among the elderly as the population ages. Chronic shunt-dependent hydrocephalus is a recognized complication of SAH. The aim of this study was to identify predictive factors for the development of shunt-dependent hydrocephalus among elderly patients with SAH. MATERIAL and METHODS: We retrospectively studied 878 patients, including 275 patients = 65 years old, with SAH treated between 2005 and 2015 to identify factors contributing to the development of shunt-dependent hydrocephalus. The relationships between shunt-dependent hydrocephalus and the causative factors were analyzed using univariate and multivariate analysis; the causative factors were based on the results of previous studies. RESULTS: In the 878 patients with SAH, there was a significant difference in the incidence of shunt-dependent hydrocephalus between patients < 65 years old and those ≥ 65 years old (p=0.021). In the 275 patients ≥ 65 years old, the following were associated with shunt-dependent hydrocephalus on univariate analysis: 1) Hunt and Hess grade (p=0.005), 2) Fisher grade (p < 0.001), 3) intraventricular hemorrhage (p < 0.001), 4) acute hydrocephalus (p=0.003), 5) aneurysm location (p=0.001), and 6) external ventricular drain placement (p < 0.001). On multivariate analysis, only 1) intraventricular hemorrhage (p < 0.001) and 2) a ruptured aneurysm located in the distal posterior circulation (p=0.014) were related to an increased risk for the development of shunt-dependent hydrocephalus. CONCLUSION: Evaluating risk factors can help identify patients at high risk of developing shunt-dependent hydrocephalus. Identifying these risk factors may help neurosurgeons to provide optimal therapy and improve outcomes in patients with SAH. © 2018, Turk Neurosurg.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.