The value of ventricular measurements in the prediction of shunt dependency after aneurysmal subarachnoid hemorrhage

Objective Chronic hydrocephalus requiring shunt placement is a common complication of aneurysmal subarachnoid hemorrhage (SAH). Different risk factors and prediction scores for post-SAH shunt dependency have been evaluated so far. We analyzed the value of ventricle measurements for prediction of the...

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Bibliographic Details
Published in:Acta neurochirurgica 2023-06, Vol.165 (6), p.1545-1555
Main Authors: Said, Maryam, Gümüs, Meltem, Rodemerk, Jan, Chihi, Mehdi, Rauschenbach, Laurèl, Dinger, Thiemo F., Darkwah Oppong, Marvin, Dammann, Philipp, Wrede, Karsten H., Sure, Ulrich, Jabbarli, Ramazan
Format: Article
Language:English
Subjects:
Accuracy
Aneurysm
Cerebral Ventricles - diagnostic imaging
Cerebral Ventricles - surgery
Cerebrospinal Fluid Shunts - adverse effects
Computed tomography
Humans
Hydrocephalus
Interventional Radiology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Original
Original Article
Prediction models
Retrospective Studies
Risk factors
Shunts
Subarachnoid hemorrhage
Subarachnoid Hemorrhage - complications
Subarachnoid Hemorrhage - diagnostic imaging
Subarachnoid Hemorrhage - surgery
Surgical Orthopedics
Third Ventricle - surgery
Vascular Neurosurgery – Aneurysm
Ventricle
Ventricles (cerebral)
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Summary:Objective Chronic hydrocephalus requiring shunt placement is a common complication of aneurysmal subarachnoid hemorrhage (SAH). Different risk factors and prediction scores for post-SAH shunt dependency have been evaluated so far. We analyzed the value of ventricle measurements for prediction of the need for shunt placement in SAH patients. Methods Eligible SAH cases treated between 01/2003 and 06/2016 were included. Initial computed tomography scans were reviewed to measure ventricle indices (bifrontal, bicaudate, Evans’, ventricular, Huckman’s, and third ventricle ratio). Previously introduced CHESS and SDASH scores for shunt dependency were calculated. Receiver operating characteristic analyses were performed for diagnostic accuracy of the ventricle indices and to identify the clinically relevant cut-offs. Results Shunt placement followed in 221 (36.5%) of 606 patients. In univariate analyses, all ventricular indices were associated with shunting (all: p
ISSN:0942-0940
0001-6268
0942-0940
DOI:10.1007/s00701-023-05595-6