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European Journal of Trauma and Emergency Surgery

Erschienen in:

03.06.2020 | Original Article

Early cranioplasty associated with a lower rate of post-traumatic hydrocephalus after decompressive craniectomy for traumatic brain injury

verfasst von: Baris Ozoner, Mustafa Kilic, Levent Aydin, Seckin Aydin, Yusuf Kemal Arslan, Ahmet Murat Musluman, Adem Yilmaz

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 4/2020

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Abstract

Background

Post-traumatic hydrocephalus (PTH) is one of the primary complications during the course of traumatic brain injury (TBI). The aim of this study was to define factors associated with the development of PTH in patients who underwent unilateral decompressive craniectomy (DC) for TBI.

Methods

A total of 126 patients, who met the inclusion criteria of the study, were divided into two groups: patients with PTH (n = 25) and patients without PTH (n = 101). Their demographic, clinical, radiological, operative, and postoperative factors, which may be associated with the development of PTH, were compared.

Results

Multivariate logistic regression analysis revealed that cranioplasty performed later than 2 months following DC was significantly associated with the requirement for ventriculoperitoneal shunting due to PTH (p < 0.001). Also, a significant unfavorable outcome rate was observed in patients with PTH at 1-year follow-up according to the Glasgow Outcome Scale-Extended (p = 0.047).

Conclusions

Our results show that early cranioplasty within 2 months after DC was associated with a lower rate of PTH development after TBI.

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Titel: Early cranioplasty associated with a lower rate of post-traumatic hydrocephalus after decompressive craniectomy for traumatic brain injury
verfasst von: Baris Ozoner
Mustafa Kilic
Levent Aydin
Seckin Aydin
Yusuf Kemal Arslan
Ahmet Murat Musluman
Adem Yilmaz
Publikationsdatum: 03.06.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 4/2020
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-020-01409-x

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Early cranioplasty associated with a lower rate of post-traumatic hydrocephalus after decompressive craniectomy for traumatic brain injury

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Methods

Results

Conclusions

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