Treatment of Subdural Effusion with Hydrocephalus after Ruptured Intracranial Aneurysm Clipping

Treatment of Subdural Effusion with Hydrocephalus after Ruptured Intracranial Aneurysm Clipping AbstractOBJECTIVEThis study was conducted to determine whether a ventriculoperitoneal shunt alone was effective in treating subdural effusion with hydrocephalus.METHODSUsing only a ventriculoperitoneal shunt, we successfully treated eight patients who had subdural effusion with hydrocephalus after ruptured intracranial aneurysmal clipping, despite ventricular deformity and midline shift.RESULTSFor all of the patients, both the subdural effusion and ventriculomegaly subsided and clinical symptoms lessened after surgery.CONCLUSIONVentriculoperitoneal shunting alone is an effective and satisfactory procedure; no subdural peritoneal shunt is needed for patients with subdural effusion accompanied by hydrocephalus. To-and-fro communication between the subdural effusion and ventricles is considered to be present in these patients. When selecting the treatment for subdural effusion, it is important to consider whether hydrocephalus (disturbance of cerebrospinal fluid circulation) is present. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Treatment of Subdural Effusion with Hydrocephalus after Ruptured Intracranial Aneurysm Clipping

Treatment of Subdural Effusion with Hydrocephalus after Ruptured Intracranial Aneurysm Clipping

CLINICAL STUDIES Treatment of Subdural Effusion with Hydrocephalus after Ruptured Intracranial Aneurysm Clipping Tetsuro Kawaguchi, M.D., Shigekiyo Fujita, M.D., Kohkichi Hosoda, M.D., Yuji Shibata, M.D., Hideki Komatsu, M.D., Norihiko Tamaki, M.D. D e p a rtm e n t o f Neurosurgery (TK, SF, KH, YS, HK), H yo g o Brain and Heart Center at H im e ji, H im e ji, and D epartm ent o f Neurosurgery (NT), Kobe U nive rsity School o f M e d ic in e , Kobe, Japan OBJECTIVE: This study was conducted to determine whether a ventriculoperitoneal shunt alone was effective in treating subdural effusion with hydrocephalus. METHODS: Using only a ventriculoperitoneal shunt, we successfully treated eight patients who had subdural effusion with hydrocephalus after ruptured intracranial aneurysmal clipping, despite ventricular deformity and midline shift. RESULTS: For all of the patients, both the subdural effusion and ventriculomegaly subsided and clinical symptoms lessened after surgery. C O N C LU SIO N : Ventriculoperitoneal shunting alone is an effective and satisfactory procedure; no subdural perito­ neal shunt is needed for patients with subdural effusion accompanied by hydrocephalus. To-and-fro com m uni­ cation between the subdural effusion and ventricles is considered to be present in these patients. When selecting the treatment for subdural effusion, it is important to consider whether hydrocephalus (disturbance of cerebro­ spinal fluid circulation) is present. (Neurosurgery 4 3 :1 0 3 3 -1 0 3 9 , 1998) Keywords: Hydrocephalus, Intracranial aneurysm, Subarachnoid hemorrhage, Subdural effusion, Ventriculoperitoneal shunt A ously recovered) subdural effusion. The first six patients w ho fter ruptured intracranial a n eu ry sm clipping, subdural had SEH were given SP shunts, but in all of them, ventricular effusion and delayed h yd rocep h alu s often occur (11, dilation then progressed. T w o patients w ho had SEH and 13), and they so m e tim e s occur sim...
Loading next page...
 
/lp/ou_press/treatment-of-subdural-effusion-with-hydrocephalus-after-ruptured-7xc4TSb1h2
Publisher
Oxford University Press
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199811000-00017
Publisher site
See Article on Publisher Site

Abstract

AbstractOBJECTIVEThis study was conducted to determine whether a ventriculoperitoneal shunt alone was effective in treating subdural effusion with hydrocephalus.METHODSUsing only a ventriculoperitoneal shunt, we successfully treated eight patients who had subdural effusion with hydrocephalus after ruptured intracranial aneurysmal clipping, despite ventricular deformity and midline shift.RESULTSFor all of the patients, both the subdural effusion and ventriculomegaly subsided and clinical symptoms lessened after surgery.CONCLUSIONVentriculoperitoneal shunting alone is an effective and satisfactory procedure; no subdural peritoneal shunt is needed for patients with subdural effusion accompanied by hydrocephalus. To-and-fro communication between the subdural effusion and ventricles is considered to be present in these patients. When selecting the treatment for subdural effusion, it is important to consider whether hydrocephalus (disturbance of cerebrospinal fluid circulation) is present.

Journal

NeurosurgeryOxford University Press

Published: Nov 1, 1998

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off