지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 254 - 261 (8page)
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초록· 키워드
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Objective : The present study aims to investigate 1) the risk factors for hydrocephalus and subdural hygroma (SDG) occurring after decompressive craniectomy (DC), and 2) the association between the type of SDG and hydrocephalus. Methods : We retrospectively reviewed the clinical and radiological features of 92 patients who underwent DC procedures after severe head injuries. The risk factors for developing post-traumatic hydrocephalus (PTH) and SDG were analyzed. Types of SDGs were classified according to location and their relationship with hydrocephalus was investigated. Results : Ultimately, 26.09% (24/92) of these patients developed PTH. In the univariate analyses, hydrocephalus was statically associated with large bone flap diameter, large craniectomy area, bilateral craniectomy, intraventricular hemorrhage, contralateral or interhemisheric SDGs, and delayed cranioplasty. However, in the multivariate analysis, only large craniectomy area (adjusted OR=4.66; p=0.0239) and contralateral SDG (adjusted OR=6.62; p=0.0105) were significant independent risk factors for developing hydrocephalus after DC. The incidence of overall SDGs after DC was 55.43% (51/92). Subgroup analysis results were separated by SDG types. Statistically significant associations between hydrocephalus were found in multivariate analysis in the contralateral (adjusted OR=5.58; p=0.0074) and interhemispheric (adjusted OR=17.63; p=0.0113) types. Conclusion : For patients who are subjected to DC following severe head trauma, hydrocephalus is associated with a large craniectomy area and contralateral SDG. For SDGs after DC that occur on the interhemispherical or controlateral side of the craniectomy, careful follow-up monitoring for the potential progression into hydrocephalus is needed.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Aarabi B. / 2009 / Dynamics of subdural hygroma following decompressive craniectomy : a comparative study / Neurosurg Focus 26:E8
Aarabi B. / 2006 / Outcome following decompressive craniectomy for malignant swelling due to severe head injury / J Neurosurg 104:469~479
Cardoso ER. / 1985 / Posttraumatic hydrocephalus--a retrospective review / Surg Neurol 23:261~264
Cho BR. / 2012 / Risk factors for the post-traumatic hydrocephalus following decompressive craniectomy in severe traumatic injury patients / Korean J Neurotrauma 8:110~114
Il-Choi / 2008 / Clinical Factors for the Development ofPosttraumatic Hydrocephalus afterDecompressive Craniectomy / 대한신경외과학회지 43(5):227~231
Aarabi B. / 2006 / Outcome following decompressive craniectomy for malignant swelling due to severe head injury / J Neurosurg 104:469~479
Cardoso ER. / 1985 / Posttraumatic hydrocephalus--a retrospective review / Surg Neurol 23:261~264
Cho BR. / 2012 / Risk factors for the post-traumatic hydrocephalus following decompressive craniectomy in severe traumatic injury patients / Korean J Neurotrauma 8:110~114
Il-Choi / 2008 / Clinical Factors for the Development ofPosttraumatic Hydrocephalus afterDecompressive Craniectomy / 대한신경외과학회지 43(5):227~231
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