Early cranioplasty associated with a lower rate of post-traumatic hydrocephalus after decompressive craniectomy for traumatic brain injury

Background Post-traumatic hydrocephalus (PTH) is one of the primary complications during the course of traumatic brain injury (TBI). The aim of this study was to define factors associated with the development of PTH in patients who underwent unilateral decompressive craniectomy (DC) for TBI. Methods...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2020-08, Vol.46 (4), p.919-926
Main Authors: Ozoner, Baris, Kilic, Mustafa, Aydin, Levent, Aydin, Seckin, Arslan, Yusuf Kemal, Musluman, Ahmet Murat, Yilmaz, Adem
Format: Article
Language:English
Subjects:
Adult
Aged
Brain Injuries, Traumatic - surgery
Brain surgery
Critical Care Medicine
Decompressive Craniectomy
Emergency medical care
Emergency Medicine
Female
Glasgow Outcome Scale
Humans
Hydrocephalus
Hydrocephalus - epidemiology
Hydrocephalus - prevention & control
Intensive
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Postoperative Complications - epidemiology
Postoperative Complications - prevention & control
Risk Factors
Sports Medicine
Surgery
Surgical Orthopedics
Surgical outcomes
Traumatic brain injury
Traumatic Surgery
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Summary:Background Post-traumatic hydrocephalus (PTH) is one of the primary complications during the course of traumatic brain injury (TBI). The aim of this study was to define factors associated with the development of PTH in patients who underwent unilateral decompressive craniectomy (DC) for TBI. Methods A total of 126 patients, who met the inclusion criteria of the study, were divided into two groups: patients with PTH ( n  = 25) and patients without PTH ( n  = 101). Their demographic, clinical, radiological, operative, and postoperative factors, which may be associated with the development of PTH, were compared. Results Multivariate logistic regression analysis revealed that cranioplasty performed later than 2 months following DC was significantly associated with the requirement for ventriculoperitoneal shunting due to PTH ( p  
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-020-01409-x