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Post-traumatic acute obstructive hydrocephalus.

A S Fleischer1, S L Huhn, H Meislin

  • 1University of Arizona Health Sciences Center, Tucson 85724.

Annals of Emergency Medicine
|February 1, 1988
PubMed
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Acute obstructive hydrocephalus following head injury can be serious. Emergency ventricular drainage is crucial for managing cerebrospinal fluid hypertension and improving patient outcomes after traumatic brain injury.

Area of Science:

  • Neurosurgery
  • Neurology
  • Trauma Care

Background:

  • Traumatic brain injury (TBI) can lead to severe complications.
  • Intraventricular hemorrhage (IVH) is a known complication of TBI.
  • Obstructive hydrocephalus presents a critical neurosurgical emergency.

Observation:

  • Two cases of head injury from motor vehicle accidents are presented.
  • Patients sustained closed-head trauma with subsequent intraventricular hemorrhage.
  • Computed tomography scans identified fourth ventricular hematomas causing obstructive hydrocephalus.

Findings:

  • Both patients required immediate ventricular drainage to alleviate cerebrospinal fluid hypertension.
  • One patient achieved full recovery with ventriculostomy.

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  • The other patient necessitated a ventriculoperitoneal shunt for long-term management.

    • Implications:

    • Prompt diagnosis and intervention are vital for managing obstructive hydrocephalus post-TBI.
    • Surgical management, including ventriculostomy or shunting, can lead to favorable outcomes.
    • Understanding the potential for delayed neurological deterioration, such as a lucid interval, is important in TBI cases.