Incidence of hydrocephalus following decompressive craniectomy for ischaemic stroke: A systematic review and

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Christopher Dillon Ovenden1, Dwarkesh Dharmendra Barot2, Aashray Gupta3

  • 1Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, Australia; Discipline of Surgery, University of Adelaide, Adelaide, Australia.

Clinical Neurology and Neurosurgery
|October 12, 2023
PubMed

Insights

Hydrocephalus is common after decompressive craniectomy for malignant stroke, but most patients do not need cerebrospinal fluid diversion. This systematic review clarifies complication rates for better patient counseling.

Area of Science:

  • Neurosurgery
  • Neurology
  • Critical Care Medicine

Background:

  • Decompressive craniectomy (DC) is a critical intervention for malignant ischemic stroke.
  • The incidence of ventriculomegaly post-DC for stroke is not well-established.
  • Understanding hydrocephalus rates is crucial for patient management.

Conclusions:

  • Hydrocephalus is a frequent complication after decompressive craniectomy for malignant stroke.
  • A small proportion of patients require permanent cerebrospinal fluid diversion.
  • Awareness of these rates is essential for appropriate clinical counseling.
Abstract

Keywords:
Decompressive CraniectomyHydrocephalusIschaemic StrokeMalignant Infarction

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