Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
World Neurosurg. 2022 Dec;168:134-138. doi: 10.1016/j.wneu.2022.08.089. Epub 2022 Aug 28.
Hydrocephalus following a ruptured aneurysm portends a poor prognosis. Patients have to face the risk of infection and shunt obstruction after shunt surgery, which may require a second procedure and greatly reduce the quality of life for survivors. It is crucial to minimize the incidence of hydrocephalus and reduce cerebrospinal fluid shunt dependency. This article reviews current interventions before and after hydrocephalus formation after aneurysmal subarachnoid hemorrhage, focusing on the relationships between treatment options and the incidence of postoperative hydrocephalus, management of cerebrospinal fluid drainage and shunt dependent hydrocephalus, and advocates for the combination of prevention and treatment to develop individualized treatment plans for patients.
脑积水分流术后感染和分流管阻塞的风险，可能需要再次手术，极大地降低了幸存者的生活质量。因此，尽量减少脑积水的发生率和减少对脑脊液分流的依赖至关重要。本文回顾了颅内破裂动脉瘤性蛛网膜下腔出血后形成脑积水前和形成后的干预措施，重点关注治疗选择与术后脑积水发生率、脑脊液引流和分流依赖型脑积水管理之间的关系，并提倡防治结合，为患者制定个体化的治疗计划。
