title: Development of obstructive hydrocephalus with lumboperitoneal shunting following subarachnoid hemorrhage.
abstract: Hydrocephalus is a frequent complication of subarachnoid hemorrhage (SAH). The optimum method of treating hydrocephalus in this setting has not been determined. We review our experience with patients developing communicating hydrocephalus secondary to SAH and subsequently treated with lumboperitoneal (LP) shunts. Following hospitalization for the treatment of SAH, patients who developed clinical symptoms and radiologic signs of hydrocephalus were treated with (ventriculoperitoneal) VP or LP shunting. Eighteen patients received an LP shunt, of which seven (28%) developed a non-communicating or obstructive hydrocephalus. These seven patients underwent replacement with a VP shunt and have not had further complications. In the setting of post-SAH communicating hydrocephalus, obstructive hydrocephalus may develop after LP shunt placement. Patients who develop this complication and have their LP shunts converted to VP shunts have a favorable prognosis.
authors.affiliation: Department of Neurosurgery, University of Pittsburgh Medical Center, PA 15213, USA. elevy@neuronet.pitt.edu
authors.forename: E I
authors.initials: EI
authors.lastname: Levy
authors.forename: A M
authors.initials: AM
authors.lastname: Scarrow
authors.forename: A D
authors.initials: AD
authors.lastname: Firlik
authors.forename: E
authors.initials: E
authors.lastname: Kanal
authors.forename: G
authors.initials: G
authors.lastname: Rubin
authors.forename: L
authors.initials: L
authors.lastname: Kirby
authors.forename: H
authors.initials: H
authors.lastname: Yonas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000150:complications; D002552:Cerebral Ventricles; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002532:Intracranial Aneurysm / Q000150:complications; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D013345:Subarachnoid Hemorrhage / Q000150:complications*; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt