Transcalvarial brain herniation volume as a predictor of posttraumatic hydrocephalus after decompressive craniectomy

  title={Transcalvarial brain herniation volume as a predictor of posttraumatic hydrocephalus after decompressive craniectomy},
  author={Angelo R. Silva Neto and Marcelo Moraes Valença},
  journal={Clinical Neurology and Neurosurgery},
OBJECTIVES In patients undergoing decompressive craniectomy for traumatic brain injury(TBI) there has been reported an incidence of hydrocephalus between 0-45%. There are several radiological and clinical features described in association with development of hydrocephalus. For study the influence of these factors we conducted a retrospective observational single-center cohort study in a tertiary care center with special attention to the transcalvarial herniation(TCH) volume after decompressive… Expand
3 Citations
Prognostic significance of subdural hygroma for post-traumatic hydrocephalus after decompressive craniectomy in the traumatic brain injury setting: a systematic review and meta-analysis
The presence of subdural hygroma is associated with increased risk of PTH after decompressive craniectomy among TBI patients based on the current literature and may mandate closer clinical surveillance when detected. Expand
Scenario for the use of effusion–peritoneal shunt necessary against subdural effusion secondary to decompressive craniectomy
CP combined with other treatments could cure most SESDC and EP shunt should be used preferentially in some specific scenarios in which CP cannot be performed first, rather than as a backup measure that can only be used when other preceding treatments fail. Expand
Change of Levels of NGF, ACTH, and AVP in the Cerebrospinal Fluid after Decompressive Craniectomy of Craniocerebral Injury and Their Relationship with Communicating Hydrocephalus
  • Liang Wang, Shuangbo Fan, Zhenping Zhao, Qian Xu
  • Medicine
  • Evidence-based complementary and alternative medicine : eCAM
  • 2021
The results showed that the levels of NGF, ACTH, and AVP in patients with cranial injury after DC were significantly higher than those in healthy subjects, and subdural effusion, traumatic subarachnoid hemorrhage, and the levels in the CSF were independent risk factors for communicating hydrocephalus. Expand


Factors associated with shunt-dependent hydrocephalus after decompressive craniectomy for traumatic brain injury.
The presence of interhemispheric subdural hygromas and younger age were associated with shunt-dependent hydrocephalus after DC in patients with severe TBI. Expand
Posttraumatic Hydrocephalus after Decompressive Craniectomy in 126 Patients with Severe Traumatic Brain Injury.
The study suggests that posttraumatic hydrocephalus development is multifactorial and shows that PTH is not that rare, and showed a correlation between craniectomy size and the incidence of PTH. Expand
Incidence and risk factors for post-traumatic hydrocephalus following decompressive craniectomy for intractable intracranial hypertension and evacuation of mass lesions.
The results showed a clear association between injury severity, subdural hygroma, and hydrocephalus, suggesting that damage to the cerebrospinal fluid drainage pathways contributes to the primary brain injury rather than the margin of the craniectomy as the factor responsible for these complications. Expand
Interhemispheric hygroma after decompressive craniectomy: does it predict posttraumatic hydrocephalus?
The presence of interhemispheric hygromas (IHHs) was a predictive radiological sign of hydrocephalus development within the first 6 months of DC in patients with severe head injury. Expand
Decompressive craniectomy, interhemispheric hygroma and hydrocephalus: A timeline of events?
Craniectomy close to the midline can predispose patients to the development of hydrocephalus and SH could be generated with the same mechanism, and these three events could be correlated on a timeline. Expand
The influence of decompressive craniectomy on the development of hydrocephalus: a review.
Several hydrocephalus predictors were identified; these included DC, distance from the midline, hygroma, age, injury severity, subarachnoid or intraventricular hemorrhage, delayed time to craniotomy, repeated operation, and duraplasity; however, results differed among studies. Expand
Hydrocephalus after Decompressive Craniotomy: A Case Series
Post-traumatic hydrocephalus is one of the rare complications of decompressive craniotomy; CSF diversion remains the only option for improvement in neurological status. Expand
Surgical complications secondary to decompressive craniectomy in patients with a head injury: a series of 108 consecutive cases
The potential benefits of decompressive craniectomy can be adversely affected by the occurrence of complications, and each complication secondary to surgical decompression had its own typical time window for occurrence. Expand
Decompressive craniectomy: a meta-analysis of influences on intracranial pressure and cerebral perfusion pressure in the treatment of traumatic brain injury.
Decompressive craniectomy can effectively decrease ICP and increase CPP in patients with TBI and refractory elevated ICP. Expand
Posttraumatic hydrocephalus: a clinical, neuroradiologic, and neuropsychologic assessment of long-term outcome.
PTH concerns about 50% of patients with severe TBI and influences functional and behavioral outcome and the appearance of posttraumatic epilepsy and the selection of patients for surgery can be defined principally on a clinical basis. Expand