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Decompressive Craniectomy and Shunt-Amenable Post-Traumatic Hydrocephalus: A Single-Center Experience
Damilola Jesuyajolu1, Terngu Moti1, Abdulahi Zubair1
1Department of neurosurgery, Manchester Centre for Clinical Neurosciences, Salford Royal Hospital, Salford, Greater Manchester, UK.
World Neurosurgery: X
|October 11, 2022
Summary
Decompressive craniectomy is linked to a higher risk of developing post-traumatic hydrocephalus (PTH). This study confirms this association, highlighting PTH as a potential complication requiring awareness for patients and surgeons.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Neurology
Background:
- Decompressive craniectomy is a critical intervention for severe traumatic brain injury.
- Previous research suggests a potential link between decompressive craniectomy and post-traumatic hydrocephalus (PTH).
Purpose of the Study:
- To investigate the association between decompressive craniectomy and the development of post-traumatic hydrocephalus (PTH).
Main Methods:
- A single-center retrospective study analyzed data from patients with traumatic brain injury (TBI) between January 2012 and May 2022.
- Statistical analysis was performed using IBM SPSS version 28.0.1 to determine significant associations.
Main Results:
- A statistically significant association was found between decompressive craniectomy and the development of PTH (odds ratio, 4.759; P = 0.019).
- Intracranial infection and external ventricular drain insertion were also identified as independent predictors of PTH.
- The cohort comprised 82.3% males with a mean age of 44.91 ± 19.16 years; 84% survived at 30 days.
Conclusions:
- Decompressive craniectomy is an independent risk factor for developing post-traumatic hydrocephalus (PTH).
- PTH requiring shunt insertion is a significant complication that necessitates awareness among healthcare providers and patients undergoing this procedure.
Keywords:
Brain traumaCSF, Cerebrospinal fluidDC, Decompressive craniectomiesDECRA, Decompressive Craniectomy trialDecompressive craniectomyEVD, External ventricular drain insertionGCS, Glasgow coma scale scoreGOS, Glasgow outcome scale scoreICU, Intensive care unitPTH, Post-traumatic hydrocephalusPost-traumatic hydrocephalusRESCUEicp trial, Trial of decompressive craniectomy for traumatic intracranial hypertensionSevere traumatic brain injuryTBI, Traumatic brain injuryTraumaTraumatic brain injuryVPS, Ventriculoperitoneal shuntVentriculoperitoneal shunt
