Delayed intracerebral hemorrhage secondary to ventriculoperitoneal shunt: a retrospective study.

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Delayed intracerebral hemorrhage secondary to ventriculoperitoneal shunt: a retrospective study.

World Neurosurg. 2017 Jul 29;:

Authors: Guo L, Chen X, Yu B, Shen L, Zhang X

Abstract
BACKGROUND: Postoperative delayed intracerebral hemorrhage (DICH) secondary to ventriculoperitoneal (VP) shunt is a rare but severe event. The present study aimed to investigate the incidence and risk factors related to DICH post VP shunt.
METHODS: The clinical data from 532 patients with VP shunt were collected retrospectively. All clinical variables were examined by univariate analysis, and a binary logistic regression analysis was performed to identify the risk factors related to DICH.
RESULTS: DICH occurred in 20 patients, from 3-10 days post VP shunt. Univariate analysis showed significant differences between the DICH and non-DICH patients with respect to age, history of hypertension, history of craniotomy, and features of the first CT scans post VP shunt (all P < 0.05). The binary logistic regression analysis revealed that age, history of craniotomy, and features of first CT scans post VP shunt were independent risk factors for DICH (all P < 0.05). The prognosis for DICH patients was consistent with the hematoma volume and the neurological status at the time of hospital admission (all P < 0.05).
CONCLUSIONS: DICH is a rare and potentially severe complication secondary to VP shunt, and a repeat of cranial CT scans post VP shunt is recommended. Advanced age, craniotomy history, and brain edema around the catheter on the first cranial CT scan post VP shunt served as independent risk factors for DICH. The DICH patients with poor neurological status at the time of hospital admission or large hematoma volume were associated with poor outcome.

PMID: 28765020 [PubMed - as supplied by publisher]

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