Therapeutic efficacy of lamina terminalis fenestration for hydrocephalus after aneurysmal subarachnoid hemorrhage
Ahati?Shamaeraotan
Du Guojia
Mohammad Sami
Zanghaer?Habudele
Sailike?Duishanbai
Abstract：Objective To explore therapeutic efficacy of lamina terminalis fenestration during clipping for hydrocephalus after aneurysmal subarachnoid hemorrhage. Methods Clinical data of 146 patients with aneurysmal subarachnoid hemorrhage undergoing clipping in early stage were analyzed retrospectively. The patients were divided into fenestration group who received aneurysm clipping plus lamina terminalis fenestration ( n = 80 ) and clipping group who received single aneurysm clipping ( n = 66 ) . The differences in incidence and therapeutic efficacy of hydrocephalus between the two groups were analyzed. Results The overall incidence of chronic hydrocephalus of the patients was 20.5％(30/146). The incidence of chronic hydrocephalus was 13.8％(11/80) in fenestration group. The incidence of chronic hydrocephalus was 28.8％(19/66) in clipping group, which was higher than that in fenestration group (P<0.05). In the patients with FisherⅢandⅣ, incidences of chronic hydrocephalus were statistically higher in clipping group than in fenestration group respectively (P< 0.05). In the patients with Hunt-Hess grades Ⅲ and Ⅳ, incidences of chronic hydrocephalus were statistically higher in clipping group than in fenestration group respectively ( P < 0 . 05 ) . The postoperative remission rate of acute hydrocephalus was significantly higher in fenestration group than in clipping group ( P <0.05). Conclusions Lamina terminalis fenestration is good for acute and chronic hydrocephalus after aneurysmal subarachnoid hemorrhage, especially for patients with Hunt-Hess Ⅲ and Ⅳ grades and Fisher Ⅲ and Ⅳ grades
Keywords：hydrocephalusintracranial aneurysmsubarachnoid hemorrhagefenestration of lamina terminalis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 20-22 )