| Objective To identify predictive factors of chronic hydrocephalus with aneurysmal subarachnoid hemorrhage.Methods 114 cases of aneurysmal subarachnoid hemorrhage verified by radiology and lumbar puncture from 1996 to 2003 were reviewed retrospectively, to identify factors contributing to chronic hydrocephalus.Results Overall, 22 of the 85 patients (25.9%) underwent ventriculoperitoneal shunt for chronic hydrocephalus. The incidence of chronic hydrocephalus following SAH was higher in patients with elder, Fisher grade III, neurological grade severity at admission , vasospasm or intraventricular hemorrhage at admission (P<0.05). The use of antifibrinolytic drugs (AFD) did not influence the development of chronic hydrocephalus (P>0.05)Conclusion Elder, Fisher grade III, neurological grade severities at admission, vasospasm, intraventricular hemorrhage at admission are risk factors and predictive factors for chronic hydrocephalus These may help neurosurgeons expedite treatment, may decrease the cost and length of hospital stays, and may result in improved outcomes. |
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