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KMID : 1143720110070020088
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Korean Journal of Neurotrauma
2011 Volume.7 No. 2 p.88 ~ p.91
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Clinical Analysis of Hydrocephalus Patients Who Underwent Shunt Surgery after Traumatic Brain Injury
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Kim Min-Ki
Park Bong-Jin
Shin Hee-Sup
Choi Seok-Keun
Kim Sung-Bum
Kim Tae-Sung
Rhee Bong-Arm
Lim Young-Jin
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Abstract
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ObjectivesVentricular enlargement and hydrocephalus after traumatic brain injury (TBI) are relatively common findings. However, selecting patients for shunt surgery is difficult to determine and clinical outcomes after shunt surgery also varies. In this clinical study, we analyzed clinical features and outcomes of hydrocephalus patients who have undergone shunt surgery after traumatic brain injury.
Methods: Total of 162 patients underwent shunt surgery between January, 2006 and December, 2010. Among these patients, we reviewed patients’ medical records retrospectively and found neuroradiological findings of 17 patients with TBI. We divided patients into two groups: poor response to shunt surgery and good response to shunt surgery. Within each group, we analyzed clinical diagnosis, operation methods to traumatic brain injury, Glasgow coma scale (GCS), computed tomography (CT) scans, radionuclide cisternography and finally the interval between TBI and shunt surgery.
Results: Number of patients divided into each group were 8 and 9, respectively. GCS on traumatic onset of each group were 5.5 and 9.8. And the differences of each group were statistically significant (p=0.020). GCS before shunt surgery were 8.5 and 11.1 respectively. There were no significant differences in age, diagnosis, and interval between TBI and shunt surgery.
Conclusion:Hydrocephalus after TBI is considered to be related with decreased absorption of cerebrospinal fluid. In selecting patients for shunt surgery, thorough analysis of clinical manifestation (GCS score) and neuroradiological images (radionuclide cisternography) should be considered.
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KEYWORD
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Traumatic brain injury, Hydrocephalus, Shunt
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