Clinical treatment of early hydrocephalus after severe brain injury

Abstract

Objective To evaluate of early period ventriculoperitoneal shunt plus cranioplasty in the treatment of severe traumatic brain injury after operation of skull defect associated with hydrocephalus and curative effect, and the postoperative complications were analyzed. Methods A retrospective analysis from July to 2011 in our department to 2013 October operation in treatment of severe traumatic brain injury after operation for skull defects and hydrocephalus in patients with clinical data, of which 24 cases (group A) to the early period of ventriculoperitoneal shunt plus cranioplasty, 15 cases(group B) to the first ventricle abdominal cavity shunt, 1-2 weeks after cranioplasty; comparing the two groups of patients with operation results and complications, postoperative follow up of 6 months to 2 years. Results Among the 24 patients in group A after operation in 22 cases, with an efficiency of 91.6%, shunt infection in 1 cases, the infection rate was 4.1%; in 15 cases in group B after operation in 12 cases, with an efficiency of 80%, shunt infection in 4 cases, the infection rate was 26%. Two groups of a total of 39 patients were no shunt excessive, intracranial hemorrhage, cerebrospinal fluid leak, infection of incision, repair materials exposed, subdural effusion or hematoma complication; 35 cases were followed up for 6months to 2 years, no shunt tube obstruction, slippage, no deaths. Conclusion The early stage of ventriculoperitoneal shunt plus cranioplasty is divided operation curative effect, and may reduce the incidence of shunt infection, is after severe head injury in patients with skull defect with hydrocephalus effective, economical and practical treatment method. Key words: Severe brain injury; Cranial defect; Traumatic hydrocephalus; Cranioplasty; Ventriculo-peritoneal shunt