Hydrocephalus as a Complication of Subarachnoid Hemorrhage

Authors: L. Jurák 1;  O. Bradáč 2;  M. Kaiser 1;  R. Brabec 1;  P. Buchvald 1;  L. Endrych 3;  P. Suchomel 1
Authors‘ workplace: Neurochirurgické oddělení, Krajská nemocnice Liberec, a. s. 1;  Neurochirurgická klinika 1. LF UK, IPVZ a ÚVN Praha 2;  Radiologické oddělení, Krajská nemocnice Liberec, a. s. 3
Published in: Cesk Slov Neurol N 2013; 76/109(1): 70-75
Category: Original Paper


Hydrocephalus is a relatively common complication of subarachnoid hemorrhage. Hydrocephalus is classified as acute, subacute or chronic according to the time elapsed from the onset of subarachnoid hemorrhage. Etiology involves either an obstruction of cerebrospinal fluid (CSF) flow or disturbed CSF resorption. Hydrocephalus in urgent situations is usually treated with temporary external ventricular or lumbar draina­­ge. Chronic forms are managed with permanent shunting, usually a ventriculoperitoneal shunt. We performed a retrospective analysis of 350 patients admitted to our centre with the diagnosis of subarachnoid hemorrhage over a 10-year period, from 1999 to 2008. Hydrocephalus occurred in 13.4% of patients with subarachnoid hemorrhage. Hydrocephalus was more frequent in patients with the initial Fisher score three and more, with aneurysm managed with endovascular treatment and with a history of temporary cerebrospinal fluid drainage. The median time from an onset of subarachnoid hemorrhage to development of hydrocephalus was 20 days.

Key words:
hydrocephalus – subarachnoid hemorrhage – complications – risk factors

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


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