Treatment of Hydrocephalus Following the Operation of Ruptured Intracranial Aneurysms.

Jeong, Gyeong Hoon; Choi, Jong Yeul; Park, Se Hyuk; Chung, Bong Sub; Lee, Kyu Ho

Original Article

Journal of Korean Neurosurgical Society 1993;22(2): 199-204.

Gyeong Hoon Jeong, Jong Yeul Choi, Se Hyuk Park, Bong Sub Chung, Kyu Ho Lee

Department of Neurosurgery, College of Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.

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.

Key Words: Aneurysm; Hydrocephalus; Cisternography; Shunt