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dc.contributor.authorGangemi, Michelangelo
dc.contributor.authorCavallo, Luigi Maria
dc.contributor.authorDi Somma, Alberto
dc.contributor.authorMazzucco, Grazia Marina
dc.contributor.authorBono, Paolo Sebastiano
dc.contributor.authorGhetti, Giovanni
dc.contributor.authorZambon, Giampaolo
dc.date.accessioned2014-06-11T09:04:28Z
dc.date.available2014-06-11T09:04:28Z
dc.date.issued2014
dc.identifier.citationGangemi M, MD, Cavallo LM, MD, PhD, Di Somma A, MD, Mazzucco GM, MD, Bono PS, MD, Ghetti G, MD, Zambon G, MD. Hydrocephalus onset after microsurgical or endovascular treatment for acute subarachnoid hemorrhage. Retrospective Italian Multicenter Study. Translational Medicine @ UniSa 2014;9(10):50-55en_US
dc.identifier.issn2239-9747en_US
dc.identifier.urihttp://hdl.handle.net/10556/1397
dc.identifier.urihttp://dx.doi.org/10.14273/unisa-246
dc.description.abstractBackground: Chronic shunt-dependent hydrocephalus is a complication of aneurysmal subarachnoid hemorrhage (aSAH). Its incidence and risk factors have been described while the hydrocephalus onset in terms of days after treatment (microsurgical or endovascular) has not been yet analyzed. Materials and Methods: 45 patients, treated for aSAH in 4 Italian Neurosurgical Departments, were retrospectively analyzed. It was calculated the time that elapses between treatment and hydrocephalus onset in 36 patients. Results: Of the 45 shunted patients, 15 (33.3%) were included in the microsurgical group (group A) and 30 (66.6%) were in the endovascular one (group B). There was no difference of the hydrocephalus onset between the two groups (24,1 days, group A vs. 27,7 days, group B). The presence of intracerebral hematoma (ICH) caused a delay in the hydrocephalus onset after endovascular treatment in terms of 11,5 days compared to microsurgical group as well the absence of vasospasm determined a delay of 13,7 days (not statistically significant). Conclusion: No difference in terms of hydrocephalus onset after microsurgical or endovascular treatment has been demonstrated. Only the presence of ICH or the absence of vasospasm can cause a slight delay in the time of hydrocephalus onset in the endovascular series (not statistically significant). Long-term follow-up studies involving higher numbers of subjects are needed to better demonstrate this issue.en_US
dc.language.isoenen_US
dc.sourceUniSa. Sistema Bibliotecario di Ateneoen_US
dc.subjectHydrocephalusen_US
dc.subjectIntracranial aneurysmen_US
dc.subjectMicrosurgical treatmenten_US
dc.subjectEndovascular treatmenten_US
dc.subjectMulticenter studyen_US
dc.titleHydrocephalus onset after microsurgical or endovascular treatment for acute subarachnoid hemorrhage. Retrospective Italian Multicenter Studyen_US
dc.typeArticleen_US
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