Document Detail

Treatment of subdural effusion with hydrocephalus after ruptured intracranial aneurysm clipping.
MedLine Citation:
PMID:  9802846     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study was conducted to determine whether a ventriculoperitoneal shunt alone was effective in treating subdural effusion with hydrocephalus. METHODS: Using only a ventriculoperitoneal shunt, we successfully treated eight patients who had subdural effusion with hydrocephalus after ruptured intracranial aneurysmal clipping, despite ventricular deformity and midline shift. RESULTS: For all of the patients, both the subdural effusion and ventriculomegaly subsided and clinical symptoms lessened after surgery. CONCLUSION: Ventriculoperitoneal shunting alone is an effective and satisfactory procedure; no subdural peritoneal shunt is needed for patients with subdural effusion accompanied by hydrocephalus. To-and-fro communication between the subdural effusion and ventricles is considered to be present in these patients. When selecting the treatment for subdural effusion, it is important to consider whether hydrocephalus (disturbance of cerebrospinal fluid circulation) is present.
T Kawaguchi; S Fujita; K Hosoda; Y Shibata; H Komatsu; N Tamaki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  43     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1999-02-11     Completed Date:  1999-02-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1033-9     Citation Subset:  IM    
Department of Neurosurgery, Hyogo Brain and Heart Center at Himeji, Japan.
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MeSH Terms
Aged, 80 and over
Aneurysm, Ruptured / surgery*
Hydrocephalus / surgery*
Intracranial Aneurysm / surgery*
Middle Aged
Postoperative Complications / surgery*
Subdural Effusion / surgery*
Treatment Outcome
Ventriculoperitoneal Shunt*
Comment In:
Neurosurgery. 1999 Sep;45(3):670   [PMID:  10493391 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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