Post-Traumatic Hydrocephalus

  • Dan Ochieng
  • Anthony Figaji
  • Graham FieggenEmail author
Living reference work entry


Hydrocephalus has long been recognized as a common complication of traumatic brain injury and can present acutely due to obstruction of CSF pathways or in a delayed fashion following subarachnoid hemorrhage, meningitis, or other causes of altered CSF hydrodynamics. This condition has taken on greater significance with the widespread use of decompressive craniectomy. Post-traumatic hydrocephalus (accompanied by raised intracranial pressure) must be distinguished from post-traumatic ventriculomegaly in order to ensure appropriate treatment.


Head trauma Subdural hematoma Subdural hygroma Ventricular haemorrhage Subarachnoid haemorrhage Decompressive craniectomy Ventriculomegaly Penetrating brain injury 


  1. Ågren-Wilsson A, Lekman A, Sjöberg W, Rosengren L, Blennow K, Bergenheim AT et al (2007) CSF biomarkers in the evaluation of idiopathic normal pressure hydrocephalus. Acta Neurol Scand 116(5):333–339CrossRefGoogle Scholar
  2. Anile C, De Bonis P, Albanese A, Di Chirico A, Mangiola A, Petrella G et al (2010) Selection of patients with idiopathic normal-pressure hydrocephalus for shunt placement: a single-institution experience. J Neurosurg 113(1):64–73CrossRefGoogle Scholar
  3. Beyerl B, Black MLP (1984) Posttraumatic hydrocephalus. Neurosurgery 15:257–261CrossRefGoogle Scholar
  4. Choi I, Park H-K, Chang J-C, Cho S-J, Choi S-K, Byun B-J (2008) Clinical factors for the development of posttraumatic hydrocephalus after decompressive craniectomy. J Korean Neurosurg Soc 43(5):227–231CrossRefGoogle Scholar
  5. De Bonis P, Pompucci A, Mangiola A, Rigante L, Anile C (2010) Post-traumatic hydrocephalus after decompressive Craniectomy: an underestimated risk factor. J Neurotrauma 27:1965–1970CrossRefGoogle Scholar
  6. De Bonis P, Mangiola A, Pompucci A, Anile C (2011) Decompressive craniectomy and hydrocephalus. Neurosurgery 68(6):1774–1779CrossRefGoogle Scholar
  7. De Bonis P, Mangiola A, Pompucci A, Formisano R, Mattogno P, Anile C (2013a) CSF dynamics analysis in patients with post-traumatic ventriculomegaly. Clin Neurol Neurosurg. Elsevier B.V. 115(1):49–53CrossRefGoogle Scholar
  8. De Bonis P, Sturiale CL, Anile C, Gaudino S, Mangiola A, Martucci M et al (2013b) Decompressive craniectomy, interhemispheric hygroma and hydrocephalus: a timeline of events? Clin Neurol Neurosurg. Elsevier B.V. 115(8):1308–1312CrossRefGoogle Scholar
  9. De Bonis P, Tamburrini G, Mangiola A, Pompucci A, Mattogno PP, Porso M et al (2013c) Post-traumatic hydrocephalus is a contraindication for endoscopic third-ventriculostomy: isn’t it? Clin Neurol Neurosurg. Elsevier B.V. 115(1):9–12CrossRefGoogle Scholar
  10. Feng H, Huang G, Liao X, Fu K, Tan H, Pu H et al (2004) Endoscopic third ventriculostomy in the management of obstructive hydrocephalus: an outcome analysis. J Neurosurg 100(4):626–633CrossRefGoogle Scholar
  11. Kishore PRS, Lipper MH, Miller JD, Girevendulis AK, Becker DP, Vines FS (1978) Post-traumatic hydrocephalus in patients with severe head injury. Neuroradiology 16:261–265CrossRefGoogle Scholar
  12. Kosteljanetz M, Ingstrup HM (1985) Normal pressure hydrocephalus: correlation between CT and measurements of cerebrospinal fluid dynamics. Acta Neurochir 77(1–2):8–13CrossRefGoogle Scholar
  13. Malcolm JG et al (2016) Complications following cranioplasty and relationship to timing: a systematic review and meta-analysis. J Clin Neurosci 33:39–51CrossRefGoogle Scholar
  14. Marmarou A, Foda MA, Bandoh K, Yoshihara M, Yamamoto T, Tsuji O et al (1996) Posttraumatic ventriculomegaly: hydrocephalus or atrophy? A new approach for diagnosis using CSF dynamics. J Neurosurg 85:1026–1035CrossRefGoogle Scholar
  15. Mazzini L, Campini R, Angelino E, Rognone F, Pastore I, Oliveri G (2003) Posttraumatic hydrocephalus: a clinical, Neuroradiologic, and Neuropsychologic assessment of long-term outcome. Arch Phys Med Rehabil 84(11):1637–1641CrossRefGoogle Scholar
  16. Meyers CA, Levin HS, Eisenberg HM, Guinto FC (1983) Early versus late lateral ventricular enlargement following closed head injury. J Neurol Neurosurg Psychiatry 46(12):1092–1097CrossRefGoogle Scholar
  17. Missori P, Miscusi M, Formisano R, Peschillo S, Polli FM, Melone A et al (2006) Magnetic resonance imaging flow void changes after cerebrospinal fluid shunt in post-traumatic hydrocephalus: clinical correlations and outcome. Neurosurg Rev 29(3):224–228CrossRefGoogle Scholar
  18. O’Brien DF, Javadpour M, Collins DR, Spennato P, Mallucci CL (2005) Endoscopic third ventriculostomy: an outcome analysis of primary cases and procedures performed after ventriculoperitoneal shunt malfunction. J Neurosurg 103(5 Suppl):393–400PubMedGoogle Scholar
  19. Singh I, Haris M, Husain M, Husain N, Rastogi M, Gupta RK (2008) Role of endoscopic third ventriculostomy in patients with communicating hydrocephalus: an evaluation by MR ventriculography. Neurosurg Rev 31(3):319–325CrossRefGoogle Scholar
  20. Tian HL, Xu T, Hu J, Cui YH, Chen H, Zhou LF (2008) Risk factors related to hydrocephalus after traumatic subarachnoid hemorrhage. Surg Neurol 69(3):241–246CrossRefGoogle Scholar
  21. Upton ML, Weller RO (1985) The morphology of cerebrospinal fluid drainage pathways in human arachnoid granulations. J Neurosurg 63(6):867–875CrossRefGoogle Scholar
  22. Waziri A, Fusco D, Mayer SA, McKhann GM II, Connolly SE Jr (2007) Post operative hydrocephalus in patients undergoing decompressive hemicraniectomy for ischemic or hemorrhagic stroke. Neurosurgery 61(3):489–494CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Division of NeurosurgeryUniversity of Cape TownCape TownSouth Africa
  2. 2.Division of Neurosurgery, Department of SurgeryUniversity of Cape TownCape TownSouth Africa

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