The Associated Factors for Permanent Cerebrospinal Fluid Shunting in Thalamic Hemorrhage Patients with Intraventricular Extension
Permanent CSF Shunting in Thalamic Hemorrhage Patients
Keywords:
thalamic hemorrhage, cerebrospinal fluid shunting, hydrocephalusAbstract
Thalamic hemorrhage with intraventricular hemorrhage may lead hydrocephalus. The surgical treatment of choice is temporary external ventricular drainage and/or permanent cerebrospinal fluid (CSF) shunting. The purpose of this comparative and analytic study from medical records was to determine the associated factors which patients may need permanent CSF shunting procedure. Total of 81 patients had thalamic hemorrhage with intraventricular extension undergone surgical treatment at Buddhachinaraj Phitsanulok Hospital between 1st October 2016 and 30th September 2019 were included. The mean age of patients was 63.7 years, 42 patients (51.9%) were men and age less than 60 years were 41 (50.6%). Procedure in 72 patients (88.9%) had temporary external ventricular drainage, permanent CSF shunting in 16 patients (19.8%) and both procedures in seven patients (8.6%). On the first computerized tomography of brain, mean Evans index and Bicaudate index were 0.30 and 0.25 in 33 patients (40.7%) and 49 patients (60.5%) respectively. Thalamic obstruction was found 87.7% and panintraventricular hemorrhage was occurred in most patients (90.1%). Blood leaked in ventricular more than 30 mL in 39 patients (48.1%). In conclusion, the patients who had undergone temporary external ventricular drainage and volume of blood leak in ventricular more than 30 mL are associated factors for permanent CSF shunting
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