Aneurysmal Subarachnoid Hemorrhage Complicated With The Treatment Of Hydrocephalus

Object:Discussion of secondary hydrocephalus after aneurysmal subarachnoidhemorrhage related factors and treatment.Methods:The first hospital affiliated to DaLian Medical University from January20-12to January2013,168cases of subarachnoid hemorrhage (SAH) patients withcomplete clinical data, including concurrent hydrocephalus (acute or chronic)32cases of follow-up and retrospective analysis,14were male,18female patients, a-ge27-73years old.According to the illness weight are at6h after admission within14days f-or surgical or interventional treatment, line wing points or improved wing GaBicraniotomy aneurysm24cases, the vascular interventional embolization in8cas-es.Result:Hospital for treatment outcome score:1, good;2, light residual;3, severelydisabled;4, death. After discharged from hospital treatment results of statisticalanalysis, the good and light residue as the prognosis is good, will be severely dis-abled and death as a poor prognosis. Fluent speaking and written statistical resul-ts as follows: recovery of17cases, light damage in7cases, severely disabled for8cases,0cases died.Conclusion:Through this group of122patients retrospectively analysis, the followingconclusions can be drawn:1. Hydrocephalus after SAH in general can be divided into acute hydrocephalus andchronic hydrocephalus, its pathogenesis is different.The pathogenesis of acutehydrocephalus considered ventricle, brain and subarachnoid blood pool influences the midbrain aqueduct, Monroe hole, basal cistern within the system and even wholeventricle subarachnoid cerebrospinal fluid circulation, lead to obstruction ofcerebrospinal fluid channel;The etiology of chronic hydrocephalus for subarachnoidfibrosis effect of cerebrospinal fluid circulation absorption, when the cerebrospinalfluid circulation is blocked and/or hydrocephalus absorption dysfunction.1. Hydrocephalus after SAH formation of the related factors: gender (for women), age(>60years old), history of high blood pressure and postoperative blood pressure onadmission and aneurysms, repeated bleeding, the size and location of the aneurysm,multiple aneurysms, the brain, and cerebral hemorrhage, Hunt-Hess classification andgrading Fisher increased, history of diabetes, smoking, drinking, etc.2. Hydrocephalus after aneurysmal subarachnoid hemorrhage treatment principleshould be according to the different period of onset, clinical manifestation,comprehensive analysis of development condition, handling all have different, toformulate individualized treatment, patients prolong survival and improve the quality oflife.