{"id":"12340461-a298-4ac6-9b4b-b95648ee2db3","slug":"factors-associated-with-post-traumatic-hydrocephalus-following-decompressive-craniectomy-a-single-center-experience","title":"Factors associated with post traumatic hydrocephalus following decompressive craniectomy: A single-center experience","authors":["Damilola Alexander Jesuyajolu","Terngu Moti","Abdulahi Ajape Zubair","Adnan Alnaser","Ahmed Zanaty","Tom Grundy","Julian Evans"],"abstract":"Background: A decompressive craniectomy (DC) is a surgical procedure sometimes utilized to manage refractory intracranial hypertension following severe traumatic brain injury (sTBI). The previous studies have established a relationship between DC and post traumatic hydrocephalus (PTH). This study aimed to identify the factors responsible for developing shunt-amenable PTH in patients who underwent DC following sTBI. Methods: A review of a prospectively collected database of all patients admitted with severe TBI in a tertiary neurosurgical center in North-west England between January 2012 and May 2022 was performed. PTH was defined as evidence of progressive ventricular dilatation, clinical deterioration, and/or the eventual need for cerebrospinal fluid diversion (i.e., a ventriculoperitoneal shunt). Statistical analysis was carried out using IBM SPSS versus 28.0.1. Results: Sixty-five patients met the eligibility criteria and were included in the study. The mean age of the PTH group was 31.38 ± 14.67, while the mean age of the non-PTH group was slightly higher at 39.96 ± 14.85. No statistically significant difference was observed between the two groups’ mechanisms of traumatic injury (P = 0.945). Of the predictors investigated, cerebellar hematoma (and contusions) was significantly associated with PTH (P = 0.006). Conclusion: This study concludes that cerebellar hematoma (and contusions) are associated with developing PTH in patients undergoing DC.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/12340461-a298-4ac6-9b4b-b95648ee2db3/featured/hero-cropped-1781560578875.jpg","publishDate":"2023-01-20T00:00:00.000Z","doi":"10.25259/SNI_1121_2022","categories":["Trauma","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2023/01/12113/SNI-14-18.pdf"}