Document Detail

Chronic hydrocephalus that requires shunting in aneurysmal subarachnoid haemorrhage [a-SAH]: its impact on clinical outcome.
MedLine Citation:
PMID:  19388303     Owner:  NLM     Status:  MEDLINE    
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.
W S Poon; S C P Ng; G K C Wong; L Y C Wong; M T V Chan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta neurochirurgica. Supplement     Volume:  102     ISSN:  0065-1419     ISO Abbreviation:  Acta Neurochir. Suppl.     Publication Date:  2008  
Date Detail:
Created Date:  2009-04-24     Completed Date:  2009-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100962752     Medline TA:  Acta Neurochir Suppl     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  129-30     Citation Subset:  IM    
Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
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MeSH Terms
Cerebrospinal Fluid Shunts / methods*,  statistics & numerical data
Glasgow Outcome Scale
Hydrocephalus / etiology*,  surgery*
Middle Aged
Retrospective Studies
Severity of Illness Index
Subarachnoid Hemorrhage / complications*,  surgery
Treatment Outcome

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