Hydrocephalus after decompressive craniectomy for malignant hemispheric cerebral infarction

Purpose: Several studies have investigated the incidence and risk factors of hydrocephalus after decompressive craniectomy (DC) for malignant hemispheric cerebral infarction. However, the results are controversial. Therefore, the following is a retrospective cohort study to determine the incidence a...

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Bibliographic Details
Published in:International journal of neuroscience 2016-08, Vol.126 (8), p.707-712
Main Authors: Wang, Qiang-ping, Ma, Jun-peng, Zhou, Zhang-ming, Yang, Min, You, Chao
Format: Article
Language:English
Subjects:
Adult
Aged
cerebral infarction
Cerebral Infarction - epidemiology
Cerebral Infarction - surgery
decompressive craniectomy
Decompressive Craniectomy - adverse effects
Decompressive Craniectomy - statistics & numerical data
Female
Follow-Up Studies
Glasgow Coma Scale
Humans
hydrocephalus
Hydrocephalus - epidemiology
Hydrocephalus - etiology
Male
Middle Aged
Outcome Assessment (Health Care)
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
risk factor
Risk Factors
Subarachnoid Hemorrhage - complications
Subarachnoid Hemorrhage - epidemiology
ventriculomegaly
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Summary:Purpose: Several studies have investigated the incidence and risk factors of hydrocephalus after decompressive craniectomy (DC) for malignant hemispheric cerebral infarction. However, the results are controversial. Therefore, the following is a retrospective cohort study to determine the incidence and risk factors of hydrocephalus after DC for malignant hemispheric cerebral infarction. Materials and methods: From January 2004 to June 2014, patients at two medical centres in south-west China, who underwent DC for malignant hemispheric cerebral infarction, were included. The patients' clinical and radiologic findings were retrospectively reviewed. A chi-square test, Mann-Whitney U-test and logistic regression model were used to identify the risk factors. Results: A total of 128 patients were included in the study. The incidence of ventriculomegaly and shunt-dependent hydrocephalus were 42.2% (54/128) and 14.8% (19/128), respectively. Lower preoperative Glasgow Coma Scale (GCS) score and presence of subarachnoid haemorrhage (SAH) were factors significantly associated with the development of post-operative hydrocephalus after DC. Conclusions: Cerebral infarction patients receiving DC have a moderate tendency to suffer from post-operative hydrocephalus. A poor GCS score and the presence of SAH were significantly associated with the development of hydrocephalus after DC.
ISSN:0020-7454
1563-5279
1543-5245
DOI:10.3109/00207454.2015.1055357