Predictive value of mGS score combined with maximum width of the temporal horn of the lateral ventricle for chronic hydrocephalus in patients with severe ventricular hemorrhage after external ventricular drainage
ZHU Xu
LI Ke-fen
LI Xin-hao
HU Shuai
GUO Li
HU Yan-mei
ZHANG Ning
YU Guo-yuan
Abstract：Objective To investigate the value of modified Graeb scale(mGS)score combined with the maximum width of the temporal horn of the lateral ventricle(MW-TH-LV)in predicting chronic hydrocephalus(CH)after external ventricular drainage(EVD)for patients with severe ventricular hemorrhage(SIVH).Methods The clinical data of 205 patients with SIVH treated with EVD from December 2017 to December 2021 were retrospectively analyzed.All patients were followed up for 6 months after discharge,and the CH was diagnosed with Evans index>0.19 measured on head CT.Results Of 205 patients,43 patients(20.97%)suffered from CH.Multivariate logistic regression analysis showed that high mGS score(OR=1.130;95%CI 1.063～1.219;P<0.001),and wide MW-TH-LV(OR=1.144;95%CI 1.087～1.267;P<0.001)were independent risk factors for CH in patients with SIVH after EDV.ROC curve analysis results showed that the area under the curve(AUC)of mGS score for predicting CH was 0.6855,the Yodon index was 0.26,the cut-off value was 23 points,the sensitivity was 67.8%,and the specificity was 55.8%;the AUC of the MW-TH-LV was 0.6982,the Jorden index was 0.39,thecut-off value was 16.3 mm,the sensitivity was 64.2%,and the specificity was 72.1%;the AUC of mGS score combined with the MW-TH-LV was 0.8394,the Jorden index was 0.51,the sensitivity was 83.9%,and the specificity was 67.4%.Conclusions The incidence of CH in patients with SIVH is high,which should not be ignored.mGS score combined with MW-TH-LV has a good predictive value for CH in patients with SIVH after EDV.
Keywords：Severe intraventricular hemorrhageChronic hydrocephalusModified Graeb scale(mGS)scoreMaximum width of the temporal horn of the lateral ventriclePredictive value
Publication Date：2023-10-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 613-616,620 )