W S Poon1, S C P Ng, G K C Wong, L Y C Wong, M T V Chan. 1. Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong. wpoon@cuhk.edu.hk
Abstract
BACKGROUND: Chronic hydrocephalus is a common occurrence following aneurismal subarachnoid haemorrhage [a-SAH] but its impact on neurological outcome has not been re reviewed systematically. PATIENTS AND METHODS: One hundred and eleven patients were recruited from a prospectively collected a-SAH registry over a 3-year period between 2002 and 2004. Their 6-month extended Glasgow Outcome Scale [GOSE] scores were correlated with routine clinical data and the need for CSF shunting [chronic hydrocephalus that required shunting, CHS]. RESULTS: Thirty patients with CHS were identified and they were associated with an initial poor WFNS grading [median 4 versus 2, p = 0.028]. Among patients with poor WFNS grading, CHS was associated with a better GOSE [median 4 versus 2, p = 0.041] and among patients with good WFNS grading, CHS paradoxically was associated with a poor GOSE [median 3.5 versus 7, p = 0.016]. CONCLUSION: The relationships between CHS and GOSE in a-SAH were complex. Their true clinical significance requires a more in-depth prospective study.
BACKGROUND:Chronic hydrocephalus is a common occurrence following aneurismal subarachnoid haemorrhage [a-SAH] but its impact on neurological outcome has not been re reviewed systematically. PATIENTS AND METHODS: One hundred and eleven patients were recruited from a prospectively collected a-SAH registry over a 3-year period between 2002 and 2004. Their 6-month extended Glasgow Outcome Scale [GOSE] scores were correlated with routine clinical data and the need for CSF shunting [chronic hydrocephalus that required shunting, CHS]. RESULTS: Thirty patients with CHS were identified and they were associated with an initial poor WFNS grading [median 4 versus 2, p = 0.028]. Among patients with poor WFNS grading, CHS was associated with a better GOSE [median 4 versus 2, p = 0.041] and among patients with good WFNS grading, CHS paradoxically was associated with a poor GOSE [median 3.5 versus 7, p = 0.016]. CONCLUSION: The relationships between CHS and GOSE in a-SAH were complex. Their true clinical significance requires a more in-depth prospective study.
Authors: Alexander Hammer; Frank Erbguth; Matthias Hohenhaus; Christian M Hammer; Hannes Lücking; Markus Gesslein; Monika Killer-Oberpfalzer; Hans-Herbert Steiner; Hendrik Janssen Journal: BMC Neurol Date: 2021-01-19 Impact factor: 2.474