169 results match your criteria Posttraumatic Hydrocephalus


Differences in Cerebrospinal Fluid Dynamics in Posttraumatic Hydrocephalus Versus Atrophy, Including Effect of Decompression and Cranioplasty.

Acta Neurochir Suppl 2021 ;131:343-347

Division of Neurosurgery, Department of Clinical Neuroscience, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.

Introduction: Challenges in diagnosing post-traumatic hydrocephalus (PTH) have created a need for an accurate diagnostic tool. We aim to report CSF dynamics in PTH and atrophy, along with differences before and after cranioplasty.

Methods: We retrospectively analyzed traumatic brain injury patients with ventriculomegaly who had infusion studies. Read More

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January 2021

Occult posterior inferior cerebellar artery dissection requiring endovascular treatment following pediatric head trauma: case report.

J Neurosurg Pediatr 2021 Apr 9:1-6. Epub 2021 Apr 9.

2Department of Neurosurgery, Great Ormond Street Hospital, London, United Kingdom.

This is the eighth case report of a pediatric dissecting posterior inferior cerebellar artery aneurysm. The authors present the case of a 13-year-old boy who presented with posttraumatic posterior fossa subdural, subarachnoid, and intraventricular hemorrhage with hydrocephalus. Initial vascular imaging findings were negative; however, a high level of suspicion is necessary. Read More

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Sinking Skin Flap Syndrome following Posttraumatic Hydrocephalus.

Case Rep Neurol Med 2021 9;2021:6682310. Epub 2021 Feb 9.

Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, Maharashtra, India.

Introduction: Complications following craniotomy are not uncommon and Sinking Skin Flap Syndrome (SSFS) constitutes a rare entity that may present after a large Decompressive Craniectomy. Although the entity is widely reported, the literature mostly consists of case reports. Authors present a case series of three patients with review of literature highlighting the various factors which can prove therapeutic and can help in avoidance of complications. Read More

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February 2021

Decompressive Craniectomy in Traumatic Brain Injury-Craniectomy-Related and Cranioplasty-Related Complications in a Single Center.

World Neurosurg 2021 Apr 11;148:e508-e517. Epub 2021 Jan 11.

Department of Neuroscience, Section of Neurosurgery, Uppsala University, Uppsala, Sweden.

Objective: Decompressive craniectomy (DC) relieves intracranial hypertension after severe traumatic brain injury (TBI), but it has been associated with poor clinical outcome in 2 recent randomized controlled trials. In this study, we investigated the incidence and explanatory variables for DC-related and cranioplasty (CP)-related complications after TBI.

Methods: In this retrospective study, we identified 61 patients with TBI who were treated with DC in the neurointensive care unit, Uppsala University Hospital, Sweden, between 2008 and 2018. Read More

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Is Endoscopic Third Ventriculostomy a Feasible Option or Ventriculoperitoneal Shunt a Safer Bet for the Treatment of Posttraumatic Hydrocephalus? A Gap Time Model-based Algorithm.

Neurol India 2020 Sep-Oct;68(5):1125-1132

Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.

Background: Posttraumatic hydrocephalus (PTH) adds to the morbidity and mortality of traumatic brain injury (TBI) and there are insufficient clinical data to suggest usefulness of ventriculoperitoneal shunt (VPS) over endoscopic third ventriculostomy (ETV) in PTH or vice versa.

Objective: To evaluate the usefulness of VPS and ETV in the treatment of PTH and to establish the indications for their usage.

Materials And Methods: This was an ambispective study of 141 patients who developed PTH out of 2500 cases of TBI treated during the study duration (2012-2016). Read More

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October 2020

Herbal Medicine for Traumatic Brain Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Limitations.

Front Neurol 2020 18;11:772. Epub 2020 Sep 18.

Department of Oriental Neuropsychiatry, Dong-eui University College of Korean Medicine, Busan, South Korea.

This systematic review aimed to evaluate the effectiveness (functional outcomes and clinical symptoms) and safety (incidence of adverse events) of herbal medicine (HM) as monotherapy or adjunctive therapy to conventional treatment (CT) for traumatic brain injury (TBI). We comprehensively searched 14 databases from their inception until July 2019. Randomized controlled trials (RCTs) using HM as monotherapy or adjunctive therapy to treat TBI patients were included. Read More

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September 2020

Hydrocephalus-related quality of life as assessed by children and their caregivers.

J Neurosurg Pediatr 2020 Jul 10:1-11. Epub 2020 Jul 10.

1Department of Neurosurgery, Division of Pediatric Neurosurgery.

Objective: Hydrocephalus is a chronic medical condition that has a significant impact on children and their caregivers. The objective of this study was to measure the quality of life (QOL) of children with hydrocephalus, as assessed by both caregivers and patients.

Methods: Pediatric patients with hydrocephalus and their caregivers were enrolled during routine neurosurgery clinic visits. Read More

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Risk Factors for the Development of Post-Traumatic Hydrocephalus in Children.

World Neurosurg 2020 09 7;141:e105-e111. Epub 2020 May 7.

Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA. Electronic address:

Objective: The aim of this study was to investigate the national impact of demographic, hospital, and inpatient risk factors on posttraumatic hydrocephalus (PTH) development in pediatric patients who presented to the emergency department after a traumatic brain injury (TBI).

Methods: The Nationwide Emergency Department Sample database 2010-2014 was queried. Patients (<21 years old) with a primary diagnosis of TBI and subsequent secondary diagnosis of PTH were identified using the International Classification of Diseases, Ninth Revision, Clinical Modification coding system. Read More

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September 2020

Does the skull Hounsfield unit predict shunt dependent hydrocephalus after decompressive craniectomy for traumatic acute subdural hematoma?

PLoS One 2020 30;15(4):e0232631. Epub 2020 Apr 30.

Department of Neurosurgery, Hanyang University Guri Hospital, Gyonggi-do, Korea.

Background And Purpose: Posttraumatic hydrocephalus affects 11.9%-36% of patients undergoing decompressive craniectomy (DC) after traumatic brain injury and necessitates a ventriculo-peritoneal shunt placement. As bone and arachnoid trabeculae share the same collagen type, we investigated possible connections between the skull Hounsfield unit (HU) values and shunt-dependent hydrocephalus (SDHC) in patients that received cranioplasty after DC for traumatic acute subdural hematoma (SDH). Read More

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Syringomyelia in Patient with Concurrent Posttraumatic Hydrocephalus and Tethered Spinal Cord: Implications for Surgical Management.

World Neurosurg 2020 06 7;138:163-168. Epub 2020 Mar 7.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.

Background: Posttraumatic syringomyelia is a significant source of disability following spinal cord injury (SCI). Despite this, its etiology and optimal treatment remain controversial. Early identification of and intervention at a presyrinx state may halt progression. Read More

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Cranioplasty Following Decompressive Craniectomy.

Front Neurol 2019 29;10:1357. Epub 2020 Jan 29.

NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, United Kingdom.

Cranioplasty (CP) after decompressive craniectomy (DC) for trauma is a neurosurgical procedure that aims to restore esthesis, improve cerebrospinal fluid (CSF) dynamics, and provide cerebral protection. In turn, this can facilitate neurological rehabilitation and potentially enhance neurological recovery. However, CP can be associated with significant morbidity. Read More

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January 2020

Transoral Protrusion of a Ventriculoperitoneal Catheter Caused by Jejunal Perforation in an Adult: Rare Case Report and Review of the Literature.

World Neurosurg 2020 05 10;137:200-205. Epub 2020 Feb 10.

Department of Neurosurgery, Royal Preston Hospital, Preston, United Kingdom. Electronic address:

Background: Although several complications after ventriculoperitoneal shunting (VPS) have been reported, transoral protrusion of a peritoneal catheter is a rare event. In the few reported cases from the literature, it is more common in pediatric patients. This case report describes the first adult in the literature with a transoral VPS protrusion after jejunal perforation. Read More

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Posttraumatic Hydrocephalus in Pediatric Patients After Decompressive Craniectomy.

World Neurosurg 2020 Apr 13;136:e690-e694. Epub 2020 Feb 13.

Section of Neurosurgery, School of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico, USA.

Objective: The risk for developing posttraumatic hydrocephalus (PTH) is higher when patients undergo decompressive craniectomy as part of their treatment. The purpose of this study is to determine the prevalence of PTH after decompressive craniectomy in pediatric patients and determine associated risk factors that may lead to PTH.

Methods: A retrospective analysis was conducted by searching the Puerto Rico neurologic surgery database from 2010 to 2019. Read More

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Factors associated with the development and outcome of hydrocephalus after decompressive craniectomy for traumatic brain injury.

Neurosurg Rev 2021 Feb 17;44(1):471-478. Epub 2020 Jan 17.

Department of Neurosurgery, Hallym University Sacred Heart Hospital, 22 Gwanpyeong-ro, Dongan-gu, Anyang-si, 14068, Gyeonggi-do, Republic of Korea.

Posttraumatic hydrocephalus (PTH) is common in patients undergoing decompressive craniectomy (DC) for traumatic brain injury (TBI), but the incidence, mechanisms, and risk factors have not been fully elucidated. This study aimed to determine the incidence of and the factors associated with PTH. We retrospectively reviewed patients who underwent DC for TBI at our institute between January 2014 and December 2018. Read More

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February 2021

Acute cerebellar edema after traumatic brain injury in a child. a case report.

Childs Nerv Syst 2020 04 22;36(4):847-851. Epub 2019 Nov 22.

Department of Neurosurgery, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Traumatic brain injuries (TBI) are a major cause of morbidity and mortality in children. Malignant cerebral edema is described to occur more often in children than in adults. Its infratentorial analogous, a malignant cerebellar edema, has not been reported yet. Read More

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Transcalvarial brain herniation volume as a predictor of posttraumatic hydrocephalus after decompressive craniectomy.

Clin Neurol Neurosurg 2019 07 7;182:73-78. Epub 2019 May 7.

Department of Neuropsychiatry, Federal University of Pernambuco, Recife, Brazil.

Objectives: In patients undergoing decompressive craniectomy for traumatic brain injury(TBI) there has been reported an incidence of hydrocephalus between 0-45%. There are several radiological and clinical features described in association with development of hydrocephalus. For study the influence of these factors we conducted a retrospective observational single-center cohort study in a tertiary care center with special attention to the transcalvarial herniation(TCH) volume after decompressive craniectomy. Read More

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Neurorehabilitation of Traumatic Brain Injury (TBI): A Clinical Review.

Med Sci (Basel) 2019 Mar 18;7(3). Epub 2019 Mar 18.

Department of Neurology, University Neurorehabilitation, Inselspital Bern, Bern University Hospital and University of Bern, 3010 Bern, Switzerland.

Traumatic brain injury (TBI) and its potential long-term consequences are of major concern for public health. Neurorehabilitation of affected individuals has some specific characteristics in contrast to neurorehabilitation of patients with acquired brain lesions of other aetiology. This review will deal with the clinical consequences of the distinct lesions of TBI. Read More

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Risk factors for the development of posttraumatic hydrocephalus after unilateral decompressive craniectomy in patients with traumatic brain injury.

J Clin Neurosci 2019 May 1;63:62-67. Epub 2019 Mar 1.

Department of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 123 Dapi Road, Niaosong District, Kaohsiung City 83301, Taiwan; Department of Biological Science, National Sun Yat-Sen University, Kaohsiung, Taiwan; Department of Neurology, Xiamen Chang Gung Memorial Hospital, Xiamen, Fujian, China. Electronic address:

Decompressive craniectomy (DC) has been performed increasingly to control medically refractory intracranial hypertension in patients with traumatic brain injury (TBI). Although DC is a potentially life-saving procedure and technically straightforward, it is associated with some significant complications that include subdural hygroma (SDG) and posttraumatic hydrocephalus (PTH). A retrospective analysis of 143 TBI patients who underwent unilateral DC was undertaken to investigate the incidence and risk factors of PTH and investigate the relationship between the types of SDG and PTH. Read More

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Management of subdural effusion and hydrocephalus following decompressive craniectomy for posttraumatic cerebral infarction in a patient with traumatic brain injury: a case report.

BMC Surg 2019 Feb 27;19(1):26. Epub 2019 Feb 27.

Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, No.185, Juqian Road, Changzhou City, 213003, China.

Background: Subdural effusion with hydrocephalus (SDEH) is a rare complication of traumatic brain injury, especially following decompressive craniectomy (DC) for posttraumatic cerebral infarction. The diagnosis and treatment are still difficult and controversial for neurosurgeons.

Case Presentation: A 45-year-old man developed traumatic cerebral infarction after traumatic brain injury and underwent DC because of the mass effect of cerebral infarction. Read More

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February 2019

Postoperative complications influencing the long-term outcome of head-injured patients after decompressive craniectomy.

Brain Behav 2019 01 4;9(1):e01179. Epub 2018 Dec 4.

Department of Neurosurgery, The Affiliated Brain Hospital with Nanjing Medical University, Fourth Clinical College of Nanjing Medical University, Nanjing, China.

Objective: Postoperative complications are common in patients who underwent decompressive craniectomy (DC) after traumatic brain injury (TBI). However, little is known about the degree of association between the postoperative complications and the long-term outcome of adult TBI patients after DC. The aim of this study was to evaluate the risk of postoperative complications that influenced the long-term outcome of DC in TBI patients. Read More

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January 2019

An elderly patient with Alzheimer's disease, normal pressure hydrocephalus and traumatic brain injury: presented with behavioral symptoms similar to behavioral variant frontotemporal dementia.

Int J Neurosci 2019 Jun 21;129(6):623-626. Epub 2018 Dec 21.

a Department of Geriatric Medicine , Dokuz Eylul University, Faculty of Medicine , Izmir , Turkey.

Objective: Traumatic brain injury (TBI) is nondegenerative insult to brain from external mechanical forces. It may cause cognitive impairment, psychological problems in the long period. Besides traumatic brain injury also induces neuroinflammation and neurodegeneration process, and increases risk of dementia. Read More

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In Reply to the Letter to the Editor Regarding "The Results of Neuroendoscopic Surgery on Patients with Posttraumatic and Posthemorrhagic Hydrocephalus".

World Neurosurg 2018 12;120:597

Department of Neurosurgery, Masaryk University Medical Faculty, St. Anne's Hospital, Brno, Czech Republic.

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December 2018

Letter to the Editor Regarding "The Results of Neuroendoscopic Surgery in Patients with Posttraumatic and Posthemorrhagic Hydrocephalus".

World Neurosurg 2018 12;120:596

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, P. R. China. Electronic address:

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December 2018

Posttraumatic hydrocephalus.

Rozhl Chir Spring 2018;97(6):258-261

Posttraumatic hydrocephalus (PH) is a common complication of craniocerebral trauma. It is necessary to bear this entity in mind, especially when managing craniocerebral trauma patients, because if not detected in time, it can significantly affect morbidity and mortality. It needs to be distinguished from brain atrophy with axonal degeneration, a condition requiring an entirely different treatment approach. Read More

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Clinical Feature and Outcomes of Secondary Hydrocephalus Caused by Head Trauma.

Korean J Neurotrauma 2018 Oct 31;14(2):86-92. Epub 2018 Oct 31.

Department of Neurosurgery, Konyang University Hospital, Konyang University Collge of Medicine, Daejeon, Korea.

Objective: Post-traumatic hydrocephalus (PTH) is a frequent and serious complication following brain injury. The incidence of PTH varies greatly among studies. The purpose of this study was to investigate the incidence and treatment of PTH in patients with head trauma. Read More

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October 2018

Monocyte depletion attenuates the development of posttraumatic hydrocephalus and preserves white matter integrity after traumatic brain injury.

PLoS One 2018 1;13(11):e0202722. Epub 2018 Nov 1.

Department of Surgery, Division of Trauma and Critical Care, Northwestern University, Chicago, Illinois, United States of America.

Monocytes are amongst the first cells recruited into the brain after traumatic brain injury (TBI). We have shown monocyte depletion 24 hours prior to TBI reduces brain edema, decreases neutrophil infiltration and improves behavioral outcomes. Additionally, both lesion and ventricle size correlate with poor neurologic outcome after TBI. Read More

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Atlantoaxial Subluxation Secondary to Unstable Os Odontoideum in a Patient With Arrested Hydrocephalus Due to Congenital Aqueductal Stenosis: A Case Report.

Int J Spine Surg 2018 Oct 15;12(5):549-556. Epub 2018 Oct 15.

Department of Spinal Surgery, Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Tehran, Iran.

Background: In a small percentage of children born with congenital hydrocephalus, enlargement of the head and the presence of ventriculomegaly may halt and ultimately stabilize the condition designated as arrested hydrocephalus. Arrested hydrocephalus in children is typically due to congenital aqueduct stenosis, which can be described appropriately as a stasis existing within the channel between the third and fourth ventricles. Os odontoideum (OO) is an uncommonly occurring pathology at the craniovertebral junction. Read More

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October 2018

Response to the letter to the editor: posttraumatic hydrocephalus following decompressive craniectomy-how well it can be predicted?

Acta Neurochir (Wien) 2018 11 27;160(11):2127-2128. Epub 2018 Sep 27.

Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Via Conca 71, 60020, Ancona, Italy.

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November 2018

One-year outcome of patients with posttraumatic hydrocephalus treated by lumboperitoneal shunt: an observational study from China.

Acta Neurochir (Wien) 2018 10 14;160(10):2031-2038. Epub 2018 Aug 14.

Department of Neurosurgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China.

Background: Lumboperitoneal shunt (LPS) attracts increasing number of research interest in the treatment of hydrocephalus due to minimal invasiveness. However, the outcome of LPS-treated posttraumatic hydrocephalus (PTH) is poorly learnt, remaining unknown to date.

Methods: We retrospectively analyzed adult patients with PTH treated by LPS in our department between May 2013 and Apr 2017. Read More

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October 2018

Development of Posttraumatic Hydrocephalus Requiring Ventriculoperitoneal Shunt After Decompressive Craniectomy for Traumatic Brain Injury: a Systematic Review and Meta-analysis of Retrospective Studies.

Med Arch 2018 Jun;72(3):214-219

Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Background: Decompressive craniotomy (DC) is a known risk factor for the development of posttraumatic hydrocephalus (PTH) in the patients with traumatic brain injury (TBI). Herein, the present study reported the development of PTH requiring ventriculoperitoneal (VP) shunt after DC for TBI.

Methods: Four databases (PubMed, Web of Science, Scopus, and Cochrane Library) were searched from 1983 to April 2018. Read More

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