ارتباط بين كرانيكتومي دكومپرسيو و بروز هيدروسفالي

The evaluation of correlation between decompressive craniectomy and hydrocephaly

Introduction: Post-traumatic hydrocephalus (PTH), is one of the relatively rare complication after severe head injury. Incidence of hydrocephaly in patient who underwent decompressive craniectomy surgery seems to be high. Aim of this research is to evaluat incidence of hydrocephaly in these patients. Method: This study was done on 36 patients who underwent decompressive craniectomy after severe head injury. We evaluated incidence rate of hydrocephalus at them, also age and consciousness level were studied. Result: Of 36 patients with decompressive craniectomy 33 patients (91.7%) were male and 3 patients (8.3%) were female, mean age was 33.5 +18.36 and mean Glascow Coma Scale (GCS) was 6.58 + 2.42. The most common underlying cause for decompressive craniectomy operation was subdural hematoma with edema in 22 patients (61.1%) and next cause was contusion and edema in 5 patients (13.9%). From all 36 patients 15 cases (41.7%) developed to true hydrocephaly that 12 patients (33.3%) need shunt operation. Conclusion: Regarding to high incidence rate of hydrocephaly in patients with decompressive craniectomy , this matter must be considered as a complication in these patients, that requires early diagnosis and treatment.