Risk factors for shunt dependency in patients suffering from spontaneous, non-aneurysmal subarachnoid hemorrhage.

摘要: Patients presenting with spontaneous, non-aneurysmal subarachnoid hemorrhage (SAH) achieve better outcomes compared to patients aneurysmal SAH. Nevertheless, some develop shunt-dependent hydrocephalus during treatment course. We therefore analyzed our neurovascular database identify factors determining shunt dependency after From 2006 2016, 131 suffering from SAH were admitted department. stratified according the distribution of cisternal blood into perimesencephalic (pSAH) versus non-perimesencephalic (npSAH). Outcome was assessed modified Rankin Scale (mRS) at 6 months and favorable (mRS 0–2) unfavorable 3–6). A multivariate analysis performed predictors in Overall, 18 developed (14%). In detail, npSAH significantly more often course, when pSAH (p = 0.02). Furthermore, acute hydrocephalus, presence intraventricular hemorrhage, clinical vasospasm, anticoagulation medication prior dependency, without (p < 0.0001). However, “acute hydrocephalus” only significant independent predictor for all The present study identified necessity CSF diversion as risk factor development course