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Effect of nonoperative treatment on the outcome of patients with posttraumatic hydrocephalus
Linshan Fu1, Yunhai Tang, Shiyu Wang
1Department of Neurosurgery, The Fourth Affiliated Hospital of Nantong Medical College, The First People's Hospital of Yancheng, Yancheng 224001, China. y8598115@pub.yc.jsinfo.net
Objective:
To compare the outcome of non-operative treatment with the outcome of surgical intraventricular drainage for patients with posttraumatic hydrocephalus including complications, mortality and favorable outcome.
Methods:
Thirty-nine patients were assigned to a nonoperative treatment group and 38 patents to a surgical intraventricular drainage group. Each patient's outcome was evaluated 3 years after treatment by using Glasgow Outcome Scale.
Results:
In the nonoperative treatment group the rate of favor able outcome (good recovery or mild disability) was 89.74% (35 of 39 patients) and the mortality was 2.56% (1 of 39 patients). In the surgical intraventricular drainage group the rate of favorable outcome was 71.05% (27 of 38 patients) and the mortality was 13.16% (5 of 38 patients; P<0.05). Mortality was not significantly different between the two groups.
Conclusions:
Nonoperative treatment may be better than surgical intraventricular drainage for patients with posttraumatic hydrocephalus.