Open Access, Peer-reviewed
pISSN 2234-8999  eISSN 2288-2243
    J Korean Neurotraumatol Soc. 2011 Oct;7(2):88-91. Korean.
    Published online Oct 31, 2011.
    https://doi.org/10.13004/jknts.2011.7.2.88
    Copyright © 2011 Korean Neurotraumatology Society
    Original Article

    Clinical Analysis of Hydrocephalus Patients Who Underwent Shunt Surgery after Traumatic Brain Injury

    Min Ki Kim, MD, Bong Jin Park, MD, Hee Sup Shin, MD, Seok Keun Choi, MD, Sung Bum Kim, MD, Tae Sung Kim, MD, Bong Arm Rhee, MD and Young Jin Lim, MD
      • Department of Neurosurgery, Kyung Hee University Hospital, Seoul, Korea.
    • Address for correspondence: Bong Jin Park, MD. Department of Neurosurgery, Kyung Hee University Hospital, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Korea. Tel: +82-2-958-8385, Fax: +82-2-958-8380, Email: nsorvos@gmail.com
    Received August 19, 2011; Revised September 15, 2011; Accepted September 15, 2011.

    Abstract

    Objective

    Ventricular enlargement and hydrocephalus after traumatic brain injury (TBI) are relatively common findings. However, selecting patients for shunt surgery is difficult to determine and clinical outcomes after shunt surgery also varies. In this clinical study, we analyzed clinical features and outcomes of hydrocephalus patients who have undergone shunt surgery after traumatic brain injury.

    Methods

    Total of 162 patients underwent shunt surgery between January, 2006 and December, 2010. Among these patients, we reviewed patients' medical records retrospectively and found neuroradiological findings of 17 patients with TBI. We divided patients into two groups: poor response to shunt surgery and good response to shunt surgery. Within each group, we analyzed clinical diagnosis, operation methods to traumatic brain injury, Glasgow coma scale (GCS), computed tomography (CT) scans, radionuclide cisternography and finally the interval between TBI and shunt surgery.

    Results

    Number of patients divided into each group were 8 and 9, respectively. GCS on traumatic onset of each group were 5.5 and 9.8. And the differences of each group were statistically significant (p=0.020). GCS before shunt surgery were 8.5 and 11.1 respectively. There were no significant differences in age, diagnosis, and interval between TBI and shunt surgery.

    Conclusion

    Hydrocephalus after TBI is considered to be related with decreased absorption of cerebrospinal fluid. In selecting patients for shunt surgery, thorough analysis of clinical manifestation (GCS score) and neuroradiological images (radionuclide cisternography) should be considered.

    Keywords
    Traumatic brain injury; Hydrocephalus; Shunt

    Tables

    TABLE 1
    Demographic characteristics

    TABLE 2
    Summary of response to shunt surgery

    TABLE 3
    Outcome of shunt surgery of PTH

    Notes

    The authors have no financial conflicts of interest.

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    MeSH Terms
    Absorption
    Brain
    Brain Injuries
    Glasgow Coma Scale
    Humans
    Hydrocephalus
    Medical Records
    Retrospective Studies
    Metrics
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