Management Problems in Acute Hydrocephalus After Subarachnoid Hemorrhage

  • D. Hasan
Conference paper

Abstract

Acute hydrocephalus is not an uncommon complication after subarachnoid hemorrhage [3, 4]. Reports on its frequency of occurrence range from 9% [7] to 67% [1], mainly because of varying definitions. The decision to treat acute hydrocephalus may be difficult for several reasons. First, impaired consciousness on admission may result from the initial bleeding or from hydrocephalus. Second, when the decision to perform ventricular drainage has been made, the question rises whether this should be done by external CSF drainage or by internal shunting. Third, it has been suggested that early ventricular drainage may precipitate rebleeding. In this study we report on the management problems of 102 patients with hydrocephalus after subarachnoid hemorrhage, from a consecutive series of 473 patients.

Keywords

Catheter Ischemia Neurol Hydrocephalus Kelly 

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References

  1. 1.
    Black PM (1986) Hydrocephalus and vasospasm after subarachnoid hemorrhage from ruptured intracranial aneurysms. Neurosurgery 18:12–16PubMedCrossRefGoogle Scholar
  2. 2.
    Graff-Radford NR, Torner J, Adams HP, Kassell NF (1987) Factors associated with hydrocephalus in subarachnoid hemorrhage (abstract). Ann Neurol 22:137Google Scholar
  3. 3.
    Van Gijn J, Hijdra A, Wijdicks EFM, Vermeulen M, van Crevel H (1985) Acute hydrocephalus after aneurysmal subarachnoid hemorrhage. J Neurosurg 63:355–362PubMedCrossRefGoogle Scholar
  4. 4.
    Hasan D, Lindsay KW, Vermeulen M (1991) Treatment of acute hydrocephalus after subarachnoid hemorrhage with lumbar puncture. Stroke 22:190–194PubMedCrossRefGoogle Scholar
  5. 5.
    Milhorat TH (1987) Acute hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery 20:15–20PubMedCrossRefGoogle Scholar
  6. 6.
    Pickard JD (1984) Early posthemorrhagic hydrocephalus. Br Med J 289:569–570CrossRefGoogle Scholar
  7. 7.
    Spallone A, Gagliardi FM (1983) Hydrocephalus following aneurysmal subarachnoid hemorrhage. Zentralbl Neurochir 44:141–150PubMedGoogle Scholar
  8. 8.
    Smith RW, Alksne JF (1986) Infections complicating the use of external ventricular drainage. J Neurosurg 44:567–570Google Scholar
  9. 9.
    Steinke D, Weir B, Disney L (1987) Hydrocephalus following aneurysmal subarachnoid hemorrhage. Neurol Res 9:3–9PubMedGoogle Scholar
  10. 10.
    Vermeulen M, Lindsay KW, Murray GD, Cheah F, Hijdra A, Muizelaar JP, Schannong M, Teasdale GM, van Crevel H, van Gijn J (1984) Antifibrinolytic treatment in subarachnoid hemorrhage. N Engl J Med 311:432–437PubMedCrossRefGoogle Scholar
  11. 11.
    Wyler AR, Kelly WA (1972) Use of antibiotics with external ventriculostomies. J Neurosurg 37:185–188PubMedCrossRefGoogle Scholar
  12. 12.
    Yasargil MG, Yonekawa Y, Zumstein B, Stahl HJ (1973) Hydrocephalus following spontaneous subarachnoid hemorrhage. J Neurosurg 39:474–479PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • D. Hasan
    • 1
  1. 1.Department of NeurologyUniversity Hospital RotterdamRotterdamThe Netherlands

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