Risk factors for hydrocephalus following craniotomy in patients with moderate to severe traumatic brain injury
YANG Si-si
WANG Cheng
DUANG Ji-xin
ZHONG Zhi-jun
LIN Yang
Abstract：Objective To investigate the risk factors for hydrocephalus following craniotomy in patients with moderate to severe traumatic brain injury.Methods The clinical data of 62 patients with moderate to severe traumatic brain injury who underwent craniotomy from July 2019 to April 2021 were retrospectively analyzed.Hydrocephalus was diagnosed based on head CT or MRI scans conducted within three months after surgery.Results Among the 62 patients,24 developed hydrocephalus postoperatively,with an incidence rate of 38.7%.Three of these patients underwent ventriculoperitoneal shunt surgery.Univariate analysis revealed that admission GCS score,preoperative brain herniation,subarachnoid hemorrhage,preoperative compression of the circummesencephalic cistern,decompressive craniectomy,and postoperative subdural effusion were associated with postoperative hydrocephalus(P<0.05).Multivariate logistic regression analysis indicated that subarachnoid hemorrhage(OR=16.15,95%CI 2.60～100.21,P=0.003)and postoperative subdural effusion(OR=23.16,95%CI 2.67～200.89,P=0.004)were independent risk factors for hydrocephalus following craniotomy in patients with moderate to severe traumatic brain injury.Conclusion For patients with moderate to severe traumatic brain injury treated with craniotomy,the presence of subarachnoid hemorrhage or postoperative subdural effusion significantly increases the risk of hydrocephalus.Timely diagnosis and appropriate interventions should be implemented to reduce the incidence of hydrocephalus and improve patient outcomes.
Keywords：Moderate to severe traumatic brain injuryCraniotomyPostoperative hydrocephalusRisk factors
Publication Date：2025-08-25
Online Publishing Date：2025-10-21(First online date of this platform, not the publication date of the document)
Pages：4( 475-478 )