Journal of Korean Neurosurgical Society
- Volume 30 Issue sup1
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- Pages.68-72
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- 2001
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
Incidence of Chronic Shunt-dependent Hydrocephalus after Surgical or Endovascular Treatment of Ruptured Intracranial Aneurysm
동맥류 결찰술 시행군과 GDC색전술 시행군에서 지주막하 출혈 후 만성 션트-의존성 수두증의 발생빈도
- Kwon, Young-Yi (Department of Neurosurgery, College of Medicine, Dankook University) ;
- Cho, Maeng Ki (Department of Neurosurgery, College of Medicine, Dankook University) ;
- Park, Bong-Jin (Department of Neurosurgery, College of Medicine, Dankook University) ;
- Sung, Jung-Nam (Department of Neurosurgery, College of Medicine, Dankook University) ;
- Kim, Young-Joon (Department of Neurosurgery, College of Medicine, Dankook University)
- 권영이 (단국대학교 의과대학 신경외과학교실) ;
- 조맹기 (단국대학교 의과대학 신경외과학교실) ;
- 박봉진 (단국대학교 의과대학 신경외과학교실) ;
- 성정남 (단국대학교 의과대학 신경외과학교실) ;
- 김영준 (단국대학교 의과대학 신경외과학교실)
- Received : 2001.06.27
- Accepted : 2001.12.14
- Published : 2001.12.31
Abstract
Objective : The goal of this study was to document the influence of the treatment modality(surgery versus endovascular treatment) on the development of chronic shunt-dependent hydrocephalus in a series of 296 patients treated after aneurysmal subarachnoid hemorrhage(SAH). Methods : The following parameters were retrospectively analyzed for association with chronic shunt-dependent hydrocephalus : 1) Age and Sex, 2) Hunt and Hess grade, 3) Fisher computed tomographic grade, 4) aneurysm location, and 5) treatment modality(surgery versus endovascular treatment). Results : Thirty-six of 251 patients(14.3%) who survived the SAH and its neurological and/or medical sequelae underwent definitive shunting for treatment of chronic hydrocephalus. The rate of shunt dependency was positively correlated with a higher age, a higher Hunt and Hess grade, a higher Fisher computed tomographic grade, and aneurysms arising at the anterior communicating artery(p<0.05). Conclusion : The results of the present study indicate that the treatment modality used does not affect the risk of the later development of chronic shunt-dependent hydrocephalus(surgery, 16.2% [25 of 154] ; endovascular treatment, 11.3% [11 of 97] ; p=0.45).
Keywords
- Shunt-dependent hydrocephalus;
- Intracranial aneurysm;
- Microsurgery;
- Endovascular treatment;
- Subarachnoid hemorrhage