Hydrocephalus after Subarachnoidal Hemorrhage – The Effects of Therapeutical Modalities for Aneurysm

Czech version

Authors: M. Mohapl; F. Kramář; V. Beneš
Authors‘ workplace: Neurochirurgická klinika 1 LF UK a IPVZ, ÚVN, Praha
Published in: Cesk Slov Neurol N 2007; 70/103(3): 284-289
Category: Short Communication

Podpořeno grantem IGA MZ ČR NR/9436-3.

Overview

Hydrocephalus as a consequence of subarachnoidal hemorrhage has been a well-known and studied complication for a long period. The authors have observed the hydrocephalus incidence in a set of patients and compared the occurrence in dependence on the applied method of withdrawing the bleeding aneurysm – surgical and endovascular treatments. Within 2001–2002, 103 patients (43 males and 60 females, aged 9–85 years, mean 49.5 years) were treated immediately after subarachnoidal hemorrhage. After establishing the diagnosis, 45 patients underwent surgery, aneurysms of 58 patients were withdrawn by an endovascular method. In the further course of therapy and follow-up, 20 patients (19.4%) died. In the whole set of 103 patients the hydrocephalus incidence reached 14.6%, 11.1% in surgical subjects and 13.8% in those after coiling.

Key words:
hydrocephalus – subarachnoidal hemorrhage – surgery – endovascular treatment – coiling

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