Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

The Effect of Fenestration of Lamina Terminalis on the Vasospasm and Shunt-Dependent Hydrocephalus in Patients Following Subarachnoid Haemorrhage

Mon Oct 3 02:53:10 2022

(2015) The Effect of Fenestration of Lamina Terminalis on the Vasospasm and Shunt-Dependent Hydrocephalus in Patients Following Subarachnoid Haemorrhage. Journal of Clinical and Diagnostic Research. p. 4. ISSN 2249-782X

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Abstract

Background and Aims: SAH (Sub Arachnoid Haemorrhage) is a life threatening that is associated with complications such as vasospasm and shunt-dependent hydrocephalus. The purpose of this study was to assess the effect of FLT (Fenestration of Lamina Terminalis) on the incidence of vasospasm and shuntdependent hydrocephalus in ACoA (Anterior Communicating Artery) aneurismal in SAH. Materials and Methods: The data of 50 ruptured ACoA aneurism patients were selected during the year 2001-2009 admitted to Imam Hussein hospital, Tehran, IR. In a randomized double-blind trial patients assigned in two group with fenestration (FLT, n=25), without fenestration (No FLT, n=25). All patients underwent craniotomy by a single neurosurgeon. Patient's age, sex, Hunt-Hess grade, Fisher grade, vasospasm, presence of hydrocephalus and incidences of shunt-dependent hydrocephalus were compared between groups. Results: There were no significant differences among groups in relation to demographic characteristics, neurological scale scores (Hunt-Hess grade) and the severity of the SAH (Fisher grade) (p>0.05). The rate of hydrocephalus on admission, were 24 and 16 in FLT and no FLT group respectively (p>0.05). The shunt placement postoperatively in FLT and no FLT group were 16 and 12 respectively (p>0.05). The clinical vasospasm was 20 and 24 in FLT and no FLT group respectively (p>0.05). Conclusion: Despite FLT can be a safe method there were not significant differences of FLT on the incidence of vasospasm and shunt-dependent hydrocephalus. A systematic evaluation with multisurgeon, multicentre and with greater sample size to disclose reality is suggested.

Item Type: Article
Creators:
CreatorsEmail
Hatefi, M.UNSPECIFIED
Azhary, S.UNSPECIFIED
Naebaghaee, H.UNSPECIFIED
Mohamadi, H. R.UNSPECIFIED
Jaafarpour, M.UNSPECIFIED
Keywords: Fenestration Hydrocepnalus SAH Vasospasm General & Internal Medicine
Divisions:
Page Range: p. 4
Journal or Publication Title: Journal of Clinical and Diagnostic Research
Journal Index: ISI
Volume: 9
Number: 7
Identification Number: https://doi.org/10.7860/jcdr/2015/13603.6264
ISSN: 2249-782X
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/569

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