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[Hydrocephalus following subarachnoid hemorrhage]
B Danilewicz1, G Zwolińska, M Jedlińska
1Z Kliniki Neurochirurgii, Instytutu Neurologii AM w Krakowie.
Neurologia I Neurochirurgia Polska
|March 1, 1987
Summary
Internal hydrocephalus is a common complication of subarachnoid hemorrhage, particularly in patients aged 51-60. Clinical symptoms related to hydrocephalus were observed in 59% of cases, necessitating valve implantation in some.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Subarachnoid hemorrhage (SAH) is a critical neurological condition.
- Internal hydrocephalus is a known complication of SAH.
- Understanding the incidence and clinical impact of hydrocephalus post-SAH is crucial for patient management.
Purpose of the Study:
- To investigate the frequency and severity of internal hydrocephalus following subarachnoid hemorrhage.
- To identify clinical correlations and management outcomes in patients with SAH-induced hydrocephalus.
Main Methods:
- Retrospective analysis of 56 patients with subarachnoid hemorrhage.
- Computed tomography (CT) head scans were used to diagnose internal hydrocephalus.
- Clinical data, including symptoms, signs, and treatment interventions, were reviewed.
Main Results:
- Internal hydrocephalus was observed in 56 patients post-SAH, most frequently in the 51-60 age group.
- Hydrocephalus severity varied: 39% low grade, 36% moderate, 25% high grade.
- Clinical symptoms related to hydrocephalus were present in 59% of patients; 11% required Pudenz valve implantation.
Conclusions:
- Internal hydrocephalus is a significant complication of subarachnoid hemorrhage with varying grades of severity.
- A substantial proportion of patients exhibit clinical manifestations linked to hydrocephalus, sometimes requiring surgical intervention.
- No significant differences in hydrocephalus frequency were noted concerning sex, hemorrhage recurrence, clinical status, vasospasm, or specific medical treatments.