Chronic hydrocephalus after subarachnoid hemorrhage. Role of lamina terminalis fenestration

被引:0
|
作者
Tomasello, F [1 ]
d'Avella, D [1 ]
de Divitiis, O [1 ]
机构
[1] Univ Messina, Sch Med, Dept Neurosurg, Messina, Italy
关键词
aneurysm; hydrocephalus; lamina terminalis; subarachnoid hemorrhage; ventriculo-peritoneal shunt;
D O I
暂无
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The incidence of chronic hydrocephalus requiring cerebrospinal fluid shunting was analyzed for a prospective series of 55 consecutive patients with ruptured cerebral aneurysms who underwent fenestration of the lamina terminalis during early microsurgical aneurysm repair. We hypothesized that, by creating an anterior ventriculocisternostomy, fenestration of the lamina terminalis facilitates CSF dynamics and decreases the risk of subsequent hydrocephalus. Estimates from the most recently published studies indicate that an incidence of chronic post-SAM hydrocephalus (requiring shunt surgery) of 15 to 20% is representative for an average contemporary population of patients with aneurysmal subarachnoid hemorrhage. The lower incidence of chronic hydrocephalus observed in this series possibly reflects the favorable effect of lamina terminalis fenestration on CSF dynamics.
引用
收藏
页码:665 / 669
页数:5
相关论文
共 50 条
  • [1] Does lamina terminalis fenestration reduce the incidence of chronic hydrocephalus after subarachnoid hemorrhage?
    Tomasello, F
    d'Avella, D
    de Divitiis, O
    NEUROSURGERY, 1999, 45 (04) : 827 - 831
  • [3] Microsurgical fenestration of the lamina terminalis reduces the incidence of shuntdependent hydrocephalus after aneurysmal subarachnoid hemorrhage
    Komotar, RJ
    Olivi, A
    Rigamonti, D
    Tamargo, RJ
    NEUROSURGERY, 2002, 51 (06) : 1403 - 1412
  • [5] The impact of microsurgical fenestration of the lamina terminalis on shunt-dependent hydrocephalus and vasospasm after aneurysmal subarachnoid hemorrhage
    Komotar, Ricardo J.
    Hahn, David K.
    Kim, Grace H.
    Khandji, Joyce
    Mocco, I.
    Mayer, Stephan A.
    Connolly, E. Sander, Jr.
    NEUROSURGERY, 2008, 62 (01) : 123 - 132
  • [6] The Role of Fenestration of the Lamina Terminalis on Symptomatic Vasospasm After Aneurysmal Subarachnoid Hemorrhage: A Clinical Research
    Cengiz, Sahika Liva
    Ilik, Mustafa Kemal
    Erdi, Fatih
    Ustun, Mehmet Erkan
    TURKISH NEUROSURGERY, 2016, 26 (05) : 714 - 719
  • [7] The impact of microsurgical fenestration of the lamina terminalis on shunt-dependent hydrocephalus and vasospasm after aneurysmal subarachnoid hemorrhage -: Comments
    Carter, Bob S.
    Macdonald, R. Loch
    Hodge, Charles J., Jr.
    Lim, Michael
    Steinberg, Gary K.
    Niemela, Mika
    Dashti, Reza
    Hernesniemi, Juha
    Fernandez-Miranda, Juan C.
    Dumont, Aaron S.
    Kassell, Neal E.
    NEUROSURGERY, 2008, 62 (01) : 132 - 134
  • [8] The impact of microsurgical fenestration of the lamina terminalis on shunt-dependent hydrocephalus and vasospasm following aneurysmal subarachnoid hemorrhage
    Komotar, Ricardo J.
    Hahn, David K.
    Kim, Grace
    Mocco, J. D.
    Khandji, Joyce
    Starke, Robert M.
    Kumar, Niru
    Kellner, Christopher P.
    Schmidt, Michael
    Mayer, Stephan A.
    Connolly, E. Sander
    JOURNAL OF NEUROSURGERY, 2007, 106 (04) : A752 - A752
  • [9] Influence of lamina terminalis fenestration on the occurrence of the shunt-dependent hydrocephalus in anterior communicating artery aneurysmal subarachnoid hemorrhage
    Kim, JM
    Jeon, JY
    Kim, JH
    Cheong, JH
    Bak, KH
    Kim, CH
    Yi, HJ
    Kim, KM
    JOURNAL OF KOREAN MEDICAL SCIENCE, 2006, 21 (01) : 113 - 118
  • [10] Efficacy of lamina terminalis fenestration in reducing shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage: a systematic review
    Komotar, Ricardo J.
    Hahn, David K.
    Kim, Grace H.
    Starke, Robert M.
    Garrett, Matthew C.
    Merkow, Maxwell B.
    Otten, Marc L.
    Sciacca, Robert R.
    Connolly, E. Sander, Jr.
    JOURNAL OF NEUROSURGERY, 2009, 111 (01) : 147 - 154