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Related Experiment Videos

Posttraumatic hydrocephalus--a retrospective review.

E R Cardoso, S Galbraith

    Surgical Neurology
    |March 1, 1985
    PubMed
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    Posttraumatic hydrocephalus, a rare complication of severe head injury, often develops within a year. Surgical shunting offers significant improvement for many patients with this condition.

    Area of Science:

    • Neurology
    • Neurosurgery
    • Traumatology

    Background:

    • Acquired hydrocephalus is a potential complication following severe head injury.
    • Posttraumatic hydrocephalus (PTH) is a specific subtype requiring further investigation.
    • Understanding the incidence and contributing factors of PTH is crucial for patient management.

    Purpose of the Study:

    • To determine the incidence of posttraumatic hydrocephalus in severe head injury patients.
    • To identify factors contributing to the development of PTH.
    • To evaluate the outcomes of surgical intervention for PTH.

    Main Methods:

    • Retrospective review of acquired hydrocephalus cases over a 5-year period.
    • Analysis of 2374 severe head injury admissions to identify PTH cases.

    Related Experiment Videos

  • Correlation of clinical factors and outcomes following shunting procedures.

    • Main Results:

    • 17 cases of PTH were identified, representing 0.7% of severe head injuries.
    • 16 out of 17 PTH cases became symptomatic within one year of injury.
    • Identified contributing factors include meningitis, subarachnoid hemorrhage, posterior fossa mass, supratentorial clot, and craniotomy.
    • Shunting resulted in marked improvement in 50% (8 patients) and slight improvement in 25% (4 patients).

    Conclusions:

    • Posttraumatic hydrocephalus is an infrequent but significant complication of severe head injury.
    • Early symptomatic presentation of PTH is common, necessitating timely diagnosis and intervention.
    • Shunt surgery can lead to substantial neurological recovery in a majority of affected individuals.