Skip to main content

Posttraumatic Hydrocephalus

  • Chapter
  • First Online:
Cerebrospinal Fluid Disorders

Abstract

Posttraumatic hydrocephalus is seen in 4% of patients that sustain a severe traumatic brain injury (TBI). Understanding the pathophysiology and diagnostic evaluation of posttraumatic hydrocephalus allows providers that do not routinely manage chronic hydrocephalus to effectively manage this condition as expected sequelae of traumatic brain injury. Understanding the appropriate diagnostic evaluation as well as medical and surgical management is key, as there are some differences in the pathophysiology and evaluation of posttraumatic hydrocephalus and chronic hydrocephalus. Outcomes after shunt implantation in posttraumatic hydrocephalus show that greater than 50% of patients will have a clear benefit after CSF diversion (Tribl G, Oder W, Brain Inj 14:345–54, 2000).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Anile C, De Bonis P, Mangiola A, Mannino S, Santini P. A new method of estimating intracranial elastance. Interdis Neuros. 2014;1:26–30.

    Google Scholar 

  2. Bergsneider M. Management of hydrocephalus with programmable valves after traumatic brain injury and subarachnoid hemorrhage. Curr Opin Neurol. 2000;13(6):661–4.

    Article  CAS  Google Scholar 

  3. Chang CC, Asada H, Mimura T, Suzuki S. A prospective study of cerebral blood flow and cerebrovascular reactivity to acetazolamide in 162 patients with idiopathic normal-pressure hydrocephalus. J Neurosurg. 2009;111(3):610–7.

    Article  CAS  Google Scholar 

  4. Chang CC, Kuwana N, Ito S, Ikegami T. Impairment of cerebrovascular reactivity to acetazolamide in patients with normal pressure hydrocephalus. Nucl Med Commun. 2000;21(2):139–41.

    Article  CAS  Google Scholar 

  5. Chen Z, Gao C, Hua Y, Keep RF, Muraszko K, Xi G. Role of iron in brain injury after intraventricular hemorrhage. Stroke. 2011;42(2):465–70.

    Article  Google Scholar 

  6. Dandy WE, Blackfan KD. Internal hydrocephalus: an experimental, clinical, and pathological study. Am J Dis Child. 1914;8:406.

    Article  Google Scholar 

  7. De Bonis P, Mangiola A, Pompucci A, Formisano R, Mattogno P, Anile C. CSF dynamics analysis in patients with post-traumatic ventriculomegaly. Clin Neurol Neurosurg. 2013;115(1):49–53.

    Article  Google Scholar 

  8. De Bonis P, Tamburrini G, Mangiola A, Pompucci A, Mattogno PP, Porso M, Anile C. Post-traumatic hydrocephalus is a contraindication for endoscopic third-ventriculostomy: isn’t it? Clin Neurol Neurosurg. 2013;115(1):9–12.

    Article  Google Scholar 

  9. Fotakopoulos G, Tsianaka E, Siasios G, Vagkopoulos K, Fountas K. Posttraumatic hydrocephalus after decompressive craniectomy in 126 patients with severe traumatic brain injury. J Neurol Surg A Cent Eur Neurosurg. 2016;77(2):88–92.

    PubMed  Google Scholar 

  10. Guyot LL, Michael DB. Post-traumatic hydrocephalus. Neurol Res. 2000;22(1):25–8.

    Article  CAS  Google Scholar 

  11. Heo J, Park SQ, Cho SJ, Chang JC, Park HK. Evaluation of simultaneous cranioplasty and ventriculoperitoneal shunt procedures. J Neurosurg. 2014;121(2):313–8.

    Article  Google Scholar 

  12. Jeong SH, Wang US, Kim SW, Ha SW, Kim JK. Symptomatic epidural fluid collection following cranioplasty after decompressive craniectomy for traumatic brain injury. Korean J Neurotrauma. 2016;12(1):6–10.

    Article  Google Scholar 

  13. Kaen A, Jimenez-Roldan L, Alday R, Gomez PA, Lagares A, Alén JF, Lobato RD. Interhemispheric hygroma after decompressive craniectomy: does it predict posttraumatic hydrocephalus? J Neurosurg. 2010;113(6):1287–93.

    Article  Google Scholar 

  14. Katz RT, Brander V, Sahgal V. Updates on the diagnosis and management of posttraumatic hydrocephalus. Am J Phys Med Rehabil. 1989;68(2):91–6.

    Article  CAS  Google Scholar 

  15. Kim KH, Yeo IS, Yi JS, Lee HJ, Yang JH, Lee IW. A pressure adjustment protocol for programmable valves. J Korean Neurosurg Soc. 2009;46(4):370–7.

    Article  Google Scholar 

  16. Kim SW, Lee SM, Shin H. Clinical analysis of post-traumatic hydrocephalus. J Korean Neurosurg Soc. 2005;38:211–4.

    Google Scholar 

  17. Leborgne JM, Sheldon JJ, Goldstein MS, Smoak WM 3rd, Serafini AN. Differential diagnosis between normal pressure hydrocephalus and cerebral atrophy on computed tomography. Rev Interam Radiol. 1979;4(2):75–8.

    CAS  PubMed  Google Scholar 

  18. Lewis A, Taylor KW. Prediction of ventriculoperitoneal shunt placement based on type of failure during external ventricular drain wean. Clin Neurol Neurosurg. 2014;125:109–13.

    Article  Google Scholar 

  19. Mazzini L, Campini R, Angelino E, et al. Posttraumatic hydrocephalus: a clinical, neuroradiologic, and neuropsychologic assessment of long-term outcome. Arch Phys Med Rehabil. 2003;84(11):1637–41.

    Article  Google Scholar 

  20. Meyer RM, Morton RP, Abecassis IJ, Barber JK, Emerson SN, Nerva JD, et al. Risk of complication with simultaneous cranioplasty and placement of ventriculoperitoneal shunt. World Neurosurg. 2017;107:830–3.

    Article  Google Scholar 

  21. Meyers C, Levin H, Eisenberg H. Early versus late ventricular enlargement following closed head injury. J Neurol Neurosurg Psychiatry. 1983;46:1092–7.

    Article  CAS  Google Scholar 

  22. Moon JW, Hyun DK. Decompressive craniectomy in traumatic brain injury: a review article. Korean J Neurotrauma. 2017;13(1):1–8.

    Article  Google Scholar 

  23. Narayan RJ, Gokaslan ZL, Bontke CF. Neurologic sequelae of head injury. In: Rosenthal M, editor. Rehabilitation of the adult and child with traumatic brain injury. 2nd ed. Philadelphia: Davis; 1990. p. 94–106.

    Google Scholar 

  24. Rahme R, Weil AG, Sabbagh M, Moumdjian R, Bouthillier A, Bojanowski MW. Decompressive craniectomy is not an independent risk factor for communicating hydrocephalus in patients with increased intracranial pressure. Neurosurgery. 2010;67(3):675.

    Article  Google Scholar 

  25. Raz E, Jensen JH, Ge Y, Babb JS, Miles L, Reaume J, et al. Brain iron quantification in mild traumatic brain injury: a magnetic field correlation study. AJNR Am J Neuroradiol. 2011;32(10):1851–6.

    Article  CAS  Google Scholar 

  26. Reddy GK, Bollam P, Shi R, Guthikonda B, Nanda A. Management of adult hydrocephalus with ventriculoperitoneal shunts: long-term single-institution experience. Neurosurgery. 2011;69(4):774–80. discussion 780–1.

    Article  Google Scholar 

  27. Schuss P, Borger V, Güresir Á, Vatter H, Güresir E. Cranioplasty and ventriculoperitoneal shunt placement after decompressive craniectomy: staged surgery is associated with fewer postoperative complications. World Neurosurg. 2015;84(4):1051–4.

    Article  Google Scholar 

  28. Tribl G, Oder W. Outcome after shunt implantation in severe head injury with post-traumatic hydrocephalus. Brain Inj. 2000;14(4):345–54.

    Article  CAS  Google Scholar 

  29. Vedantam A, Yamal JM, Hwang H, Robertson CS, Gopinath SP. Factors associated with shunt-dependent hydrocephalus after decompressive craniectomy for traumatic brain injury. J Neurosurg. 2017;16:1–6.

    Google Scholar 

  30. Weintraub AH, Gerber DJ, Kowalski RG. Posttraumatic hydrocephalus as a confounding influence on brain injury rehabilitation: incidence, clinical characteristics, and outcomes. Arch Phys Med Rehabil. 2017;98(2):312–9.

    Article  Google Scholar 

  31. Wen L, Wan S, Zhan RY, Li G, Gong JB, Liu WG, et al. Shunt implantation in a special sub-group of post-traumatic hydrocephalus--patients have normal intracranial pressure without clinical representations of hydrocephalus. Brain Inj. 2009;23(1):61–4.

    Article  CAS  Google Scholar 

  32. Yang XF, Wang H, Wen L, Huang X, Li G, Gong JB. The safety of simultaneous cranioplasty and shunt implantation. Brain Inj. 2017;12:1–5.

    Google Scholar 

  33. Zhao J, Chen Z, Xi G, Keep RF, Hua Y. Deferoxamine attenuates acute hydrocephalus after traumatic brain injury in rats. Transl Stroke Res. 2014;5(5):586–94.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeffrey R. Leonard .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Milton, J., Leonard, J.R. (2019). Posttraumatic Hydrocephalus. In: Limbrick Jr., D., Leonard, J. (eds) Cerebrospinal Fluid Disorders . Springer, Cham. https://doi.org/10.1007/978-3-319-97928-1_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-97928-1_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97927-4

  • Online ISBN: 978-3-319-97928-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics