Post-traumatic hydrocephalus
LL Guyot, DB Michael - Neurological research, 2000 - Taylor & Francis
LL Guyot, DB Michael
Neurological research, 2000•Taylor & FrancisThe syndrome of post-traumatic hydrocephalus (PTH) has been recognized since Dandy's
report in 1914. The incidence of symptomatic PTH ranges from 0.7%-29%. IfCT criteria of
ventriculomegaly are used the incidence has been reported to be from 30%-86%.
Differences in diagnostic criteria and classification have contributed to the variation in
reported incidence. The diagnosis of PTH is established using a combination of clinical,
imaging and physiologic data. Symptomatic PTH is to be distinguished from post-traumatic …
report in 1914. The incidence of symptomatic PTH ranges from 0.7%-29%. IfCT criteria of
ventriculomegaly are used the incidence has been reported to be from 30%-86%.
Differences in diagnostic criteria and classification have contributed to the variation in
reported incidence. The diagnosis of PTH is established using a combination of clinical,
imaging and physiologic data. Symptomatic PTH is to be distinguished from post-traumatic …
Abstract
The syndrome of post-traumatic hydrocephalus (PTH) has been recognized since Dandy’s report in 1914. The incidence of symptomatic PTH ranges from 0.7%-29%. IfCT criteria of ventriculomegaly are used the incidence has been reported to be from 30%-86%. Differences in diagnostic criteria and classification have contributed to the variation in reported incidence. The diagnosis of PTH is established using a combination of clinical, imaging and physiologic data. Symptomatic PTH is to be distinguished from post-traumatic ventriculomegaly resulting from atrophy. Symptomatic PTH patients are likely to improve when treated by shunting. Ventriculomegaly secondary to atrophy is less likely to respond to shunting. A series of traumatic brain injury patients at Wayne State University has been followed since 1989. The overall incidence of shunt placement in this group is 3.65%. Future studies of PTH should be aimed at refining diagnostic classification and criteria. Analysis of a large PTH population may then identify alterable risk factors in the early post-traumatic brain injury period. Minimizing these factors will help prevent subsequent PTH and obviate the need for shunting. [Neurol Res 2000; 22: 25-28]
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