Surgical treatment of aresorbtive hydrocephalus in remote period after rupture of the brain arterial aneurysm
Introduction. Spontaneous subarachnoid hemorrhage (SAH) — is a typical manifestation of rupture of the brain arterial aneurysm (AA) and the cause of pathological cascade changes including impairment of CSF dynamic. Initial manifestations of impairment of CSF dynamic have progredient cours...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Romodanov Neurosurgery Institute
2014-09-01
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| Series: | Ukrainian Neurosurgical Journal |
| Online Access: | https://theunj.org/article/view/47490 |
| Summary: | Introduction. Spontaneous subarachnoid hemorrhage (SAH) — is a typical manifestation of rupture of the brain arterial aneurysm (AA) and the cause of pathological cascade changes including impairment of CSF dynamic. Initial manifestations of impairment of CSF dynamic have progredient course and transform into aresorbtive hydrocephalus.Materials and methods. The results of surgical treatment of 107 patients with aresorbtive hydrocephalus in the remote period of AA rupture were analyzed. The patients were operated in a clinic in 2009–2014.Results. The typical disease flow noted in 72% patients and was characterized by progressive dementia, gait and urinary disorders. In 28% patients combination of typical disease manifestations with ischemic brain changes was determined. In the acute period CSF shunting operations were performed in 107 patients, in 102 of them — ventriculoperitoneal ,and in 5 — lumboperitoneal shunting.Conclusions. Surgical treatment of aresorbtive hydrocephalus that developed in the remote period after brain AA rupture is an effective method for treatment and prevention of hydrocephalic and secondary ischemic brain lesion, lead to the improvement of the quality of life of operated patients. |
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| ISSN: | 2663-9084 2663-9092 |