Dostovic Adnan, Moranjkic Mirza, Galijasevic Kenan, Mujezinovic Adnan, Salihovic Denisa, Kunic Suljo
Department of Neurosurgery, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina1.
Department of Anatomy, Faculty of Medicine, University of Zenica, Bosnia and Herzegovina.
Med Arch. 2025;79(2):122-126. doi: 10.5455/medarh.2025.79.122-126.
Hydrocephalus is the accumulation of cerebrospinal fluid in the ventricles of the brain. Ventriculoperitoneal shunt placement is one of the most commonly performed neurosurgical procedures and is necessary for the treatment of most forms of hydrocephalus.
The aim of the study was to determine demographic indicators, comorbidities, complications and outcome of patients with hydrocephalus after ventriculoperitoneal shunt implantation.
This is a retrospective study. Data on the subjects' age, gender, symptoms, degree of disability, complications, comorbidities and outcome after ventriculoperitoneal shunt implantation were recorded. All patients were clinically examined by neurologists and neurosurgeons and diagnosed through unified and standardized algorithms according to established guidelines for hydrocephalus. Cognitive functionality was assessed according to the Mini Mental State Test. Urinary incontinence was assessed based on patients' subjective feelings. Data on comorbidities and complications were collected from the patients' medical records. The degree of disability was assessed using the modified Rankin scale.
The average age of the subjects was 58.7 years, and the highest frequency of subjects was in the age group over 61 years (62.2%). There was no statistically significant difference in age in men (X=54.69, SD=18.77), or women (X=60.88, SD=19.96); t (35)=0.8, p=0.3. A statistically significant number of patients with hydrocephalus had a lower degree of disability after ventriculoperitoneal shunt implantation (p<0.05). Hypertension was the most common comorbidity with hydrocephalus (35.1%). Pneumonia was the most common general complication in patients with hydrocephalus (8.1%). Females had a statistically significantly worse survival (p=0.01). There was no statistically significant difference in the outcome of hydrocephalus patients in relation to age groups, comorbidities, general and complications after ventriculoperitoneal shunt implantation (p>0.05).
Patients with hydrocephalus after ventriculoperitoneal shunt implantation have a lower degree of disability, and female patients have statistically significantly worse survival. Hypertension is the most common comorbidity, and pneumonia the most common complication in patients with hydrocephalus. There is no statistically significant difference in the outcome of hydrocephalus patients in relation to age groups, comorbidities, general and complications after ventriculoperitoneal shunt implantation.
脑积水是指脑脊液在脑室中积聚。脑室腹腔分流术是最常施行的神经外科手术之一，是治疗大多数类型脑积水所必需的。
本研究旨在确定脑室腹腔分流术后脑积水患者的人口统计学指标、合并症、并发症及预后情况。
这是一项回顾性研究。记录了受试者的年龄、性别、症状、残疾程度、并发症、合并症以及脑室腹腔分流术后的预后情况。所有患者均由神经科医生和神经外科医生进行临床检查，并根据既定的脑积水指南通过统一和标准化的算法进行诊断。认知功能根据简易精神状态测试进行评估。尿失禁根据患者的主观感受进行评估。合并症和并发症的数据从患者的病历中收集。使用改良Rankin量表评估残疾程度。
受试者的平均年龄为58.7岁，年龄最大的组为61岁以上组（62.2%）。男性（X = 54.69，标准差 = 18.77）和女性（X = 60.88，标准差 = 19.96）的年龄在统计学上无显著差异；t（35）= 0.8，p = 0.3。统计学上，大量脑积水患者在脑室腹腔分流术后残疾程度较低（p < 0.05）。高血压是脑积水最常见的合并症（35.1%）。肺炎是脑积水患者最常见的全身并发症（8.1%）。女性的生存率在统计学上显著较差（p = 0.01）。脑室腹腔分流术后，脑积水患者的预后在年龄组、合并症、全身情况及并发症方面无统计学显著差异（p > 0.05）。
脑室腹腔分流术后的脑积水患者残疾程度较低，女性患者的生存率在统计学上显著较差。高血压是最常见的合并症，肺炎是脑积水患者最常见的并发症。脑室腹腔分流术后，脑积水患者的预后在年龄组、合并症、全身情况及并发症方面无统计学显著差异。
