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Subdural hematoma secondary to CSF ventricular shunt
Schweizer Archiv Fur Neurologie, Neurochirurgie Und Psychiatrie = Archives Suisses De Neurologie, Neurochirurgie Et De Psychiatrie
|January 1, 1980
Summary
Subdural hematomas occurred in 8 of 94 patients receiving extrathecal cerebrospinal fluid (CSF) shunts. Postoperative monitoring using CAT scans and angiography identified these complications, prompting discussion on related pressure and hydrocephalus factors.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Extrathecal cerebrospinal fluid (CSF) shunts were introduced to manage hydrocephalus.
- Complications associated with CSF shunting require careful monitoring and analysis.
Purpose of the Study:
- To report the incidence of subdural hematoma following extrathecal CSF shunt insertion.
- To analyze the relationship between shunt parameters and subdural hematoma development.
Main Methods:
- Retrospective review of 94 patients who underwent extrathecal CSF shunt insertion.
- Postoperative monitoring utilizing Computed Axial Tomography (CAT) scans.
- Cerebral angiography performed for patients with neurological symptomatology.
Main Results:
- Eight cases (8.5%) of subdural hematoma were identified postoperatively.
- The study discusses the correlation between subdural hematoma incidence and factors such as opening valve pressure, intraoperative CSF ventricular pressure, and hydrocephalus etiology.
Conclusions:
- Extrathecal CSF shunts can be associated with a significant risk of subdural hematoma.
- Further investigation into pressure dynamics and hydrocephalus characteristics is warranted to mitigate shunt-related complications.