Cargando…
Influence of Lamina Terminalis Fenestration on the Occurrence of the Shunt-Dependent Hydrocephalus in Anterior Communicating Artery Aneurysmal Subarachnoid Hemorrhage
Recently, it was reported that fenestration of the lamina terminalis (LT) may reduce the incidence of shunt-dependent hydrocephalus in aneurysmal subarachnoid hemorrhage (SAH). The authors investigated the efficacy of the LT opening on the incidence of shunt-dependent hydrocephalus in the ruptured a...
Autores principales: | , , , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Medical Sciences
2006
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2733958/ https://www.ncbi.nlm.nih.gov/pubmed/16479076 http://dx.doi.org/10.3346/jkms.2006.21.1.113 |
_version_ | 1782171117309394944 |
---|---|
author | Kim, Jae Min Jeon, Ji Young Kim, Jae Hoon Cheong, Jin Hwan Bak, Koang Hum Kim, Choong Hyun Yi, Hyeong Joong Kim, Kwang Myung |
author_facet | Kim, Jae Min Jeon, Ji Young Kim, Jae Hoon Cheong, Jin Hwan Bak, Koang Hum Kim, Choong Hyun Yi, Hyeong Joong Kim, Kwang Myung |
author_sort | Kim, Jae Min |
collection | PubMed |
description | Recently, it was reported that fenestration of the lamina terminalis (LT) may reduce the incidence of shunt-dependent hydrocephalus in aneurysmal subarachnoid hemorrhage (SAH). The authors investigated the efficacy of the LT opening on the incidence of shunt-dependent hydrocephalus in the ruptured anterior communicating artery (ACoA) aneurysms. The data of 71-ruptured ACoA aneurysm patients who underwent aneurysmal clipping in acute stage were reviewed retrospectively. Group I (n=36) included the patients with microsurgical fenestration of LT during surgery, Group II (n=35) consisted of patients in whom fenestration of LT was not feasible. The rate of shunt-dependent hydrocephalus was compared between two groups by logistic regression to control for confounding factors. Ventriculo-peritoneal shunts were performed after aneurysmal obliteration in 18 patients (25.4%). The conversion rates from acute hydrocephalus on admission to chronic hydrocephalus in each group were 29.6% (Group I) and 58.8% (Group II), respectively. However, there was no significant correlation between the microsurgical fenestration and the rate of occurrence of shunt-dependent hydrocephalus (p>0.05). Surgeons should carefully decide the concomitant use of LT fenestration during surgery for the ruptured ACoA aneurysms because of the microsurgical fenestration of LT can play a negative role in reducing the incidence of chronic hydrocephalus. |
format | Text |
id | pubmed-2733958 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2006 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-27339582009-08-31 Influence of Lamina Terminalis Fenestration on the Occurrence of the Shunt-Dependent Hydrocephalus in Anterior Communicating Artery Aneurysmal Subarachnoid Hemorrhage Kim, Jae Min Jeon, Ji Young Kim, Jae Hoon Cheong, Jin Hwan Bak, Koang Hum Kim, Choong Hyun Yi, Hyeong Joong Kim, Kwang Myung J Korean Med Sci Original Article Recently, it was reported that fenestration of the lamina terminalis (LT) may reduce the incidence of shunt-dependent hydrocephalus in aneurysmal subarachnoid hemorrhage (SAH). The authors investigated the efficacy of the LT opening on the incidence of shunt-dependent hydrocephalus in the ruptured anterior communicating artery (ACoA) aneurysms. The data of 71-ruptured ACoA aneurysm patients who underwent aneurysmal clipping in acute stage were reviewed retrospectively. Group I (n=36) included the patients with microsurgical fenestration of LT during surgery, Group II (n=35) consisted of patients in whom fenestration of LT was not feasible. The rate of shunt-dependent hydrocephalus was compared between two groups by logistic regression to control for confounding factors. Ventriculo-peritoneal shunts were performed after aneurysmal obliteration in 18 patients (25.4%). The conversion rates from acute hydrocephalus on admission to chronic hydrocephalus in each group were 29.6% (Group I) and 58.8% (Group II), respectively. However, there was no significant correlation between the microsurgical fenestration and the rate of occurrence of shunt-dependent hydrocephalus (p>0.05). Surgeons should carefully decide the concomitant use of LT fenestration during surgery for the ruptured ACoA aneurysms because of the microsurgical fenestration of LT can play a negative role in reducing the incidence of chronic hydrocephalus. The Korean Academy of Medical Sciences 2006-02 2006-02-20 /pmc/articles/PMC2733958/ /pubmed/16479076 http://dx.doi.org/10.3346/jkms.2006.21.1.113 Text en Copyright © 2006 The Korean Academy of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Jae Min Jeon, Ji Young Kim, Jae Hoon Cheong, Jin Hwan Bak, Koang Hum Kim, Choong Hyun Yi, Hyeong Joong Kim, Kwang Myung Influence of Lamina Terminalis Fenestration on the Occurrence of the Shunt-Dependent Hydrocephalus in Anterior Communicating Artery Aneurysmal Subarachnoid Hemorrhage |
title | Influence of Lamina Terminalis Fenestration on the Occurrence of the Shunt-Dependent Hydrocephalus in Anterior Communicating Artery Aneurysmal Subarachnoid Hemorrhage |
title_full | Influence of Lamina Terminalis Fenestration on the Occurrence of the Shunt-Dependent Hydrocephalus in Anterior Communicating Artery Aneurysmal Subarachnoid Hemorrhage |
title_fullStr | Influence of Lamina Terminalis Fenestration on the Occurrence of the Shunt-Dependent Hydrocephalus in Anterior Communicating Artery Aneurysmal Subarachnoid Hemorrhage |
title_full_unstemmed | Influence of Lamina Terminalis Fenestration on the Occurrence of the Shunt-Dependent Hydrocephalus in Anterior Communicating Artery Aneurysmal Subarachnoid Hemorrhage |
title_short | Influence of Lamina Terminalis Fenestration on the Occurrence of the Shunt-Dependent Hydrocephalus in Anterior Communicating Artery Aneurysmal Subarachnoid Hemorrhage |
title_sort | influence of lamina terminalis fenestration on the occurrence of the shunt-dependent hydrocephalus in anterior communicating artery aneurysmal subarachnoid hemorrhage |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2733958/ https://www.ncbi.nlm.nih.gov/pubmed/16479076 http://dx.doi.org/10.3346/jkms.2006.21.1.113 |
work_keys_str_mv | AT kimjaemin influenceoflaminaterminalisfenestrationontheoccurrenceoftheshuntdependenthydrocephalusinanteriorcommunicatingarteryaneurysmalsubarachnoidhemorrhage AT jeonjiyoung influenceoflaminaterminalisfenestrationontheoccurrenceoftheshuntdependenthydrocephalusinanteriorcommunicatingarteryaneurysmalsubarachnoidhemorrhage AT kimjaehoon influenceoflaminaterminalisfenestrationontheoccurrenceoftheshuntdependenthydrocephalusinanteriorcommunicatingarteryaneurysmalsubarachnoidhemorrhage AT cheongjinhwan influenceoflaminaterminalisfenestrationontheoccurrenceoftheshuntdependenthydrocephalusinanteriorcommunicatingarteryaneurysmalsubarachnoidhemorrhage AT bakkoanghum influenceoflaminaterminalisfenestrationontheoccurrenceoftheshuntdependenthydrocephalusinanteriorcommunicatingarteryaneurysmalsubarachnoidhemorrhage AT kimchoonghyun influenceoflaminaterminalisfenestrationontheoccurrenceoftheshuntdependenthydrocephalusinanteriorcommunicatingarteryaneurysmalsubarachnoidhemorrhage AT yihyeongjoong influenceoflaminaterminalisfenestrationontheoccurrenceoftheshuntdependenthydrocephalusinanteriorcommunicatingarteryaneurysmalsubarachnoidhemorrhage AT kimkwangmyung influenceoflaminaterminalisfenestrationontheoccurrenceoftheshuntdependenthydrocephalusinanteriorcommunicatingarteryaneurysmalsubarachnoidhemorrhage |