AI Article Synopsis
- A decompressive craniectomy (DC) is a surgical method used to treat severe intracranial pressure after traumatic brain injuries, and this study investigates its link to post traumatic hydrocephalus (PTH).
- A review of data from a neurosurgical center included 65 patients with severe TBI, monitoring for evidence of PTH, defined by symptoms like ventricular dilation and the need for a shunt.
- Results showed that younger patients were more likely to develop PTH, with cerebellar hematomas being a significant predictor of this condition following DC.
Article Abstract
Background: A decompressive craniectomy (DC) is a surgical procedure sometimes utilized to manage refractory intracranial hypertension following severe traumatic brain injury (sTBI). The previous studies have established a relationship between DC and post traumatic hydrocephalus (PTH). This study aimed to identify the factors responsible for developing shunt-amenable PTH in patients who underwent DC following sTBI.
Methods: A review of a prospectively collected database of all patients admitted with severe TBI in a tertiary neurosurgical center in North-west England between January 2012 and May 2022 was performed. PTH was defined as evidence of progressive ventricular dilatation, clinical deterioration, and/or the eventual need for cerebrospinal fluid diversion (i.e., a ventriculoperitoneal shunt). Statistical analysis was carried out using IBM SPSS versus 28.0.1.
Results: Sixty-five patients met the eligibility criteria and were included in the study. The mean age of the PTH group was 31.38 ± 14.67, while the mean age of the non-PTH group was slightly higher at 39.96 ± 14.85. No statistically significant difference was observed between the two groups' mechanisms of traumatic injury ( = 0.945). Of the predictors investigated, cerebellar hematoma (and contusions) was significantly associated with PTH ( = 0.006).
Conclusion: This study concludes that cerebellar hematoma (and contusions) are associated with developing PTH in patients undergoing DC.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9899461 | PMC |
| http://dx.doi.org/10.25259/SNI_1121_2022 | DOI Listing |
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