J Korean Neurosurg Soc.  1993 Feb;22(2):199-204.

Treatment of Hydrocephalus Following the Operation of Ruptured Intracranial Aneurysms

• Jeong GH
• Choi JY
• Park SH
• Chung BS
• Lee KH

Abstract

Hydrocephalus, which is one of the major complications following intracranial aneurysm operations, can prevent patients from improvement of consciousness, symptoms and signs that can be expected after operation. Whenever there is no evidence of appreciable improvement after intracranial aneurysm operation, follow-up brain CT scannings will reveal the development of hydrocephalus. And also radioisotope cisternography and clinical findings could be clarified as Glasgow coma scale(GCS) and Hunt & Hess classification, which will help clinicians making a decision on shunt operation. Among 183 patients of subarachnoiod hemorrhage admitted, 92 patients were operated on due to intracranial aneurysms. Nine patients(9.8%) of them were underwent shunt operations because of hydrocephalus following intracranial aneurysm operations. Eight patients showed improvement of clinical findings and 9 patients have been improved according to GCS score.

Keyword

Aneurysm; Hydrocephalus; Cisternography; Shunt

MeSH Terms

Aneurysm
Brain
Classification
Coma
Consciousness
Follow-Up Studies
Hemorrhage
Humans
Hydrocephalus*
Intracranial Aneurysm*
Tomography, X-Ray Computed