A subarachnoidealis vérzést követocombining double acute accent krónikus hydrocephalus kialakulását befolyásoló tényezocombining double acute accentk vizsgálata, különös tekintettel a kamrai és AZ ágyéki liquordrenázs szerepére

Translated title of the contribution: Factors affecting the development of chronic hydrocephalus following subarachnoid hemorrhage

Béla Fülöp, Gabor Deák, Zoltán Mencser, Ádám Kuncz, P. Barzó

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Hydrocephalus is a common complication of aneurysmal subarachnoid hemorrhage. Numerous studies have dealt so far with the triggering cause of the chronic cerebrospinal fluid (CSF) absorptional and circulatory disorders. Despite the fact that these studies gave several different explanations, most of them agreed on the fact that the obstruction of CSF pathway has a crucial role in the development of the clinical feature. By examing three years' clinical cases they the authors were trying to find out which are the factors that influence the development of the late hydrocephalus which succeeds the subarachnoid hemorrhage; moreover to find out if the incidence of the latter may be decreased by a continuous drainage of CSF which advances its purification. One hundred and seventy-one patients (one hundred and twenty-seven females) were treated by aneurysmal SAH at Department of Neurosurgery, University of Szeged between 2002 and 2005. The following parameters were recorded: gender, clinical state, risk factors (smoking, consuming alcohol and hypertension), the method and the time of surgical treatment as well as CSF drainage. The studies have shown that the risk of incidence of chronic hydrocephalus's incidence were higher in men and in case of severe clinical state with severe SAH. The disturbed CSF circulation and/or absorption were positively correlated with consuming alcohol and hypertension, while smoking did not affect it. The rate of the incidence of chronic hydrocephalus among our patients was lower (5.8%) compared to the results of other studies (7-40%) suggests that disturbance of CSF circulation and/or absorption may be avoided in the majority of cases by continuous external ventricular or lumbar CSF drainage, which is applied routinly.

Original languageHungarian
Pages (from-to)255-261
Number of pages7
JournalIdeggyógyászati szemle
Volume62
Issue number7-8
Publication statusPublished - Jul 30 2009

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Subarachnoid Hemorrhage
Hydrocephalus
Cerebrospinal Fluid
Incidence
Smoking
Alcohols
Hypertension
Neurosurgery
Cerebrospinal Fluid Leak
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

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title = "A subarachnoidealis v{\'e}rz{\'e}st k{\"o}vetocombining double acute accent kr{\'o}nikus hydrocephalus kialakul{\'a}s{\'a}t befoly{\'a}sol{\'o} t{\'e}nyezocombining double acute accentk vizsg{\'a}lata, k{\"u}l{\"o}n{\"o}s tekintettel a kamrai {\'e}s AZ {\'a}gy{\'e}ki liquordren{\'a}zs szerep{\'e}re",
abstract = "Hydrocephalus is a common complication of aneurysmal subarachnoid hemorrhage. Numerous studies have dealt so far with the triggering cause of the chronic cerebrospinal fluid (CSF) absorptional and circulatory disorders. Despite the fact that these studies gave several different explanations, most of them agreed on the fact that the obstruction of CSF pathway has a crucial role in the development of the clinical feature. By examing three years' clinical cases they the authors were trying to find out which are the factors that influence the development of the late hydrocephalus which succeeds the subarachnoid hemorrhage; moreover to find out if the incidence of the latter may be decreased by a continuous drainage of CSF which advances its purification. One hundred and seventy-one patients (one hundred and twenty-seven females) were treated by aneurysmal SAH at Department of Neurosurgery, University of Szeged between 2002 and 2005. The following parameters were recorded: gender, clinical state, risk factors (smoking, consuming alcohol and hypertension), the method and the time of surgical treatment as well as CSF drainage. The studies have shown that the risk of incidence of chronic hydrocephalus's incidence were higher in men and in case of severe clinical state with severe SAH. The disturbed CSF circulation and/or absorption were positively correlated with consuming alcohol and hypertension, while smoking did not affect it. The rate of the incidence of chronic hydrocephalus among our patients was lower (5.8{\%}) compared to the results of other studies (7-40{\%}) suggests that disturbance of CSF circulation and/or absorption may be avoided in the majority of cases by continuous external ventricular or lumbar CSF drainage, which is applied routinly.",
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AU - Deák, Gabor

AU - Mencser, Zoltán

AU - Kuncz, Ádám

AU - Barzó, P.

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KW - Aneurysm

KW - Chronic hydrocephalus

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