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KMID : 0890520020040020159
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Korean Journal of Cerebrovascular Disease
2002 Volume.4 No. 2 p.159 ~ p.163
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Symptomatic Vasospasm and Chronic Hydrocephalus in Elderly Patients after Intracranial Aneurysm Rupture-Comparison with Younger Ones
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Cho Maeng-Ki
Kim Young-Joon
Park Bong-Jin
Sung Jung-Nam
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Abstract
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Objective:The purpose of this study is to compare the incidence of shunt-dependent chronic hydrocephalus and symptomatic vasospasm in elderly patients following intracranial aneurysm rupture with those of younger patients.
Methods: We retrospectively reviewed the medical records of 189 patients who were treated with open surgery between May 1994 and December 2000. They were divided into two groups；elderly (≥60 yrs) and younger (≤59 yrs) group. Incidence of shunt-dependent chronic hydrocephalus and symptomatic vasospasm was analysed in each group during 6 months after surgery.
Results: Shunt-dependent chronic hydrocephalus has developed more frequently in the elderly group (27.8%) than in the younger group (7.3%). Incidence of symptomatic vasospasm was not significantly different between two groups, even though poor grade patients were more represented in the elderly group.
Conclusion: Meticulous clinical long-term follow-up is needed to detect shunt-dependent chronic hydrocephalus as early as possble in the elderly patients with operated ruptured intracranial aneurysms and in that case, shunt operation should be undertaken.
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KEYWORD
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Intracranial aneurysm rupture, Shunt-dependent chronic hydrocephalus, Symptomatic vasospasm
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