Post Traumatic Hydrocephalus: A Review of 68 Cases

Authors

  • FAKHAR HAYAT Department of Neurosurgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar
  • SHAHID AYUB Department of Neurosurgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar
  • MUMTAZ ALI Department of Neurosurgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar
  • Muhammad Siddiq Department of Neurosurgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar
  • Khalid Khanzada Department of Neurosurgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar

Keywords:

Head injury, Post traumatic hydrocephalus,, External ventricular drain, VP shunt

Abstract

Objective: To evaluate different factors affecting post traumatic hydrocephalus.
Material and Methods: This retrospective study was conducted in the department of Neurosurgery, Postgraduate Medical Institute, Lady Reading Hospital Peshawar from July 2009 to June 2011. Record of all head injury patients was reviewed. Out of 5438 admitted patients with head injury, those who developed post traumatic hydrocephalus were included in the study.
Results: A total of 68 patients with post traumatic hydrocephalus were diagnosed over the last two years. Out of these 47 (69%) were male and 21 (31%) female. Mostly they were of young age group between 08 years to 41 years. Mean age of presentation being 20 years. A large group 56 (82%) out of 68 patients were in state of moderate to severe head injury, diagnosed within matter of hours or days, as acute post traumatic hydrocephalus. Those who developed after two weeks, fall in group chronic post traumatic hydrocephalus. Out of these, 55 (81%) patients underwent some sort of CSF diversion procedure like external ventricular drain (EVD) or Ventriculo Peritoneal (VP) Shunt. Subarachnoid hemorrhage, intraventricular hemorrhage, intracranial hematoma, posterior fossa bleed, meningitis and craniotomy were recognized associative factors for development of PTH. There was improvement in about 59% after surgery. And the long term prognosis, expressed in GOS, was good in 44% of the cases.
Conclusion: Post traumatic hydrocephalus is a dangerous complication and needs critical consideration and early diagnosis in severe head injury cases.

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Published

2018-11-04

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Vol. 15 No. 2 (2011): July-December

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Original Articles

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