Predicting Shunt Dependency from the Effect of Cerebrospinal Fluid Drainage on Ventricular Size.

ABSTRACT:

Background

Prolonged external ventricular drainage (EVD) in patients with subarachnoid hemorrhage (SAH) leads to morbidity, whereas early removal can have untoward effects related to recurrent hydrocephalus. A metric to help determine the optimal time for EVD removal or ventriculoperitoneal shunt (VPS) placement would be beneficial in preventing the prolonged, unnecessary use of EVD. This study aimed to identify whether dynamics of cerebrospinal fluid (CSF) biometrics can temporally predict VPS dependency after SAH.

Methods

This was a retrospective analysis of a prospective, single-center, observational study of patients with aneurysmal SAH who required EVD placement for hydrocephalus. Patients were divided into VPS-dependent (VPS+) and non-VPS dependent groups. We measured

SUBMITTER: Rubinos C 

PROVIDER: S-EPMC9847349 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature