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...
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Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199811000-00017
Publisher site
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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

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