Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea

Objetivo: Determinar si los grados altos en la escala de Fisher son útiles como factores pronósticos en el desarrollo de hidrocefalia en pacientes colombianos con diagnóstico de hemorragia subaracnoidea (HSA) espontánea vistos en el Hospital Universitario Clínica San Rafael (HUCSR) desde Enero de 20...

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Fecha de publicación:
2013
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
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spa
OAI Identifier:
oai:repository.urosario.edu.co:10336/4515
Acceso en línea:
https://doi.org/10.48713/10336_4515
http://repository.urosario.edu.co/handle/10336/4515
Palabra clave:
Hemorragia subaracnoidea espontánea
escala de Fisher
tomografía axial computarizada
Hunt-Hess
hidrocefalia aguda
subaguda y crónica
punción lumbar seriada
ventriculostomía
derivación ventriculoperitoneal
fenestración de lámina terminalis
revisión sistemática de la literatura.
ESCALA DE FISHER
ESCALA DE HUNT Y HESS
HEMORRAGIA SUBARACNOIDEA
HIDROCEFALIA
PUNCIÓN ESPINAL
TOMOGRAFÍA COMPUTARIZADA POR RAYOS X
VENTRICULOSTOMÍA
Fisher Scale
Subarachnoid hemorrhage
CT Scan
Hunt-Hess
acute
subacute and chronic hydrocephalus
lumbar puncture
ventriculostomy
ventriculoperitoneal shunt
lamina terminalis fenestration
systematic review of literature.
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License
Abierto (Texto completo)
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repository_id_str
dc.title.spa.fl_str_mv Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea
title Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea
spellingShingle Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea
Hemorragia subaracnoidea espontánea
escala de Fisher
tomografía axial computarizada
Hunt-Hess
hidrocefalia aguda
subaguda y crónica
punción lumbar seriada
ventriculostomía
derivación ventriculoperitoneal
fenestración de lámina terminalis
revisión sistemática de la literatura.
ESCALA DE FISHER
ESCALA DE HUNT Y HESS
HEMORRAGIA SUBARACNOIDEA
HIDROCEFALIA
PUNCIÓN ESPINAL
TOMOGRAFÍA COMPUTARIZADA POR RAYOS X
VENTRICULOSTOMÍA
Fisher Scale
Subarachnoid hemorrhage
CT Scan
Hunt-Hess
acute
subacute and chronic hydrocephalus
lumbar puncture
ventriculostomy
ventriculoperitoneal shunt
lamina terminalis fenestration
systematic review of literature.
title_short Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea
title_full Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea
title_fullStr Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea
title_full_unstemmed Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea
title_sort Grados altos en la Escala de Fisher predicen el desarrollo de hidrocefalia en pacientes con hemorragia subaracnoidea espontanea
dc.contributor.advisor.none.fl_str_mv Trillos Peña, Carlos Enrique
dc.subject.spa.fl_str_mv Hemorragia subaracnoidea espontánea
escala de Fisher
tomografía axial computarizada
Hunt-Hess
hidrocefalia aguda
subaguda y crónica
punción lumbar seriada
ventriculostomía
derivación ventriculoperitoneal
fenestración de lámina terminalis
revisión sistemática de la literatura.
topic Hemorragia subaracnoidea espontánea
escala de Fisher
tomografía axial computarizada
Hunt-Hess
hidrocefalia aguda
subaguda y crónica
punción lumbar seriada
ventriculostomía
derivación ventriculoperitoneal
fenestración de lámina terminalis
revisión sistemática de la literatura.
ESCALA DE FISHER
ESCALA DE HUNT Y HESS
HEMORRAGIA SUBARACNOIDEA
HIDROCEFALIA
PUNCIÓN ESPINAL
TOMOGRAFÍA COMPUTARIZADA POR RAYOS X
VENTRICULOSTOMÍA
Fisher Scale
Subarachnoid hemorrhage
CT Scan
Hunt-Hess
acute
subacute and chronic hydrocephalus
lumbar puncture
ventriculostomy
ventriculoperitoneal shunt
lamina terminalis fenestration
systematic review of literature.
dc.subject.decs.spa.fl_str_mv ESCALA DE FISHER
ESCALA DE HUNT Y HESS
HEMORRAGIA SUBARACNOIDEA
HIDROCEFALIA
PUNCIÓN ESPINAL
TOMOGRAFÍA COMPUTARIZADA POR RAYOS X
VENTRICULOSTOMÍA
dc.subject.keyword.eng.fl_str_mv Fisher Scale
Subarachnoid hemorrhage
CT Scan
Hunt-Hess
acute
subacute and chronic hydrocephalus
lumbar puncture
ventriculostomy
ventriculoperitoneal shunt
lamina terminalis fenestration
systematic review of literature.
description Objetivo: Determinar si los grados altos en la escala de Fisher son útiles como factores pronósticos en el desarrollo de hidrocefalia en pacientes colombianos con diagnóstico de hemorragia subaracnoidea (HSA) espontánea vistos en el Hospital Universitario Clínica San Rafael (HUCSR) desde Enero de 2005 a Abril de 2012 con seguimiento a 12 meses. Métodos: 251 pacientes fueron incluidos en una cohorte restrospectiva. La asociación entre la escala de Fisher y el desarrollo de hidrocefalia en pacientes con HSA espontánea fue analizada a través de un análisis bivariado y multivariado. Se realizó una revisión sistemática de literatura (RSL) enfocada en factores de riesgo asociados con el desarrollo de hidrocefalia en HSA espontánea. Resultados: En nuestra cohorte de pacientes, la etiología de la HSA fue predominantemente por ruptura de aneurismas; 78,5%. La prevalencia de hidrocefalia fue de 27,1%. La sobrevida a 12 meses fue de 65,7%. La edad promedio de los pacientes incluidos fue 55,5 ± 15 años, en su mayoría mujeres 65,7%. Tener Fisher 4 y Hunt-Hess III están asociados con el desarrollo de hidrocefalia: OR ajustado; 2.93 IC 95%: 1.51-5.65, P <0.001, OR ajustado 2.83 IC 95%: 1.31-6.17 P=0.008 respectivamente. La RSL mostró una prevalencia de hidrocefalia de 17 a 68% y una mortalidad entre un 3.0% a 33%. El 50% de los estudios analizados asocian significativamente la hemorragia intraventricular ( Fisher 4) con hidrocefalia. Conclusión: Nuestros resultados confirman conceptos actuales de que la hidrocefalia post HSA es obs-tructiva y secundaria como tener Fisher IV y deterioro neurológico al ingreso (Hunt y Hess III).
publishDate 2013
dc.date.accessioned.none.fl_str_mv 2013-08-05T21:36:30Z
dc.date.available.none.fl_str_mv 2013-08-05T21:36:30Z
dc.date.created.none.fl_str_mv 2013-07-08
dc.date.issued.none.fl_str_mv 2013
dc.type.eng.fl_str_mv bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.spa.spa.fl_str_mv Trabajo de grado
dc.identifier.doi.none.fl_str_mv https://doi.org/10.48713/10336_4515
dc.identifier.uri.none.fl_str_mv http://repository.urosario.edu.co/handle/10336/4515
url https://doi.org/10.48713/10336_4515
http://repository.urosario.edu.co/handle/10336/4515
dc.language.iso.none.fl_str_mv spa
language spa
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto completo)
dc.rights.cc.spa.fl_str_mv Atribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rights.uri.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/2.5/co/
rights_invalid_str_mv Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.none.fl_str_mv application/pdf
dc.format.tipo.spa.fl_str_mv Documento
dc.publisher.spa.fl_str_mv Universidad del Rosario
dc.publisher.department.spa.fl_str_mv Facultad de medicina
institution Universidad del Rosario
dc.source.bibliographicCitation.none.fl_str_mv O’Kelly CJ, Kulkarni A V, Austin PC, Urbach D, Wallace MC. Shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage: incidence, predictors, and revision rates. Clinical article. Journal of neurosurgery [Internet]. 2009 Dec [cited 2013 May 31];111(5):1029–35. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19361256
Rhoney DH, McAllen K, Liu-DeRyke X. Current and future treatment considerations in the management of aneurysmal subarachnoid hemorrhage. Journal of pharmacy practice [Internet]. 2010 Oct [cited 2013 May 31];23(5):408–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21507846
Manno EM. Subarachnoid hemorrhage. Neurologic clinics [Internet]. 2004 May [cited 2013 May 30];22(2):347–66. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15062516
Jartti P, Karttunen a., Jartti a., Ukkola V, Sajanti J, Pyhtinen J. Factors Related to Acute Hydrocephalus After Subarachnoid Hemorrhage. Acta Radiologica [Internet]. 2004 Jan [cited 2013 May 31];45(3):333–9.
Woernle CM, Winkler KML, Burkhardt J-K, Haile SR, Bellut D, Neidert MC, et al. Hydrocephalus in 389 patients with aneurysm-associated subarachnoid hemorrhage. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [Internet].
Germanwala A V, Huang J, Tamargo RJ. Hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery clinics of North America [Internet]. Elsevier Ltd; 2010 May [cited 2013 May 31];21(2):263–70.
Galera R, Greitz T. Hydrocephalus in the adult secondary to the rupture of intracranial arterial aneurysms. Journal of neurosurgery
Dorai Z, Hynan LS, Kopitnik T a., Samson D. Factors Related to Hydrocephalus after Aneurysmal Subarachnoid Hemorrhage. Neurosurgery [Internet]. 2003 Apr [cited 2013 May 31];52(4):763–71.
Demirgil BT, Tugcu B, Postalci L, Guclu G, Dalgic a, Oral Z. Factors leading to hydrocephalus after aneurysmal subarachnoid hemorrhage. Minimally invasive neurosurgery : MIN [Internet]. 2003 Dec
Sheehan JP, Polin RS, Sheehan JM, Baskaya MK, Kassell NF. Factors associated with hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery [Internet]. 1999
Tomasello F, d’Avella D, De Divitiis O. Does lamina terminalis fenestration reduce the incidence of chronic hydrocephalus after subarachnoid hemorrhage? Neurosurgery [Internet]. 1999 Oct;45(4):827–31;
Ellington E, Margolis G. Block of arachnoid villus by subarachnoid hemorrhage. Journal of neurosurgery [Internet]. 1969 Jul;30(6):651–7.
Fisher CM, Kistler JP DJ. Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning
Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, et al. Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence. Oxford Centre for Evidence-Based Medicine. 2011.
Wang Y-M, Lin Y-J, Chuang M-J, Lee T-H, Tsai N-W, Cheng B-C, et al. Predictors and outcomes of shunt-dependent hydrocephalus in patients with aneurysmal sub-arachnoid hemorrhage. BMC surgery [Internet]. BMC Surgery; 2012 Jan
Rincon F, Gordon E, Starke RM, Buitrago MM, Fernandez A, Schmidt JM, et al. Predictors of long-term shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. Clinical article. Journal of neurosurgery [Internet]. 2010 Oct
Dehdashti AR, Rilliet B, Rufenacht D a, De Tribolet N. Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality. Journal of neurosurgery [Internet]. 2004 Oct;101(3):402–7.
Ohwaki K, Yano E, Nakagomi T, Tamura a. Relationship between shunt-dependent hydrocephalus after subarachnoid haemorrhage and duration of cerebrospinal fluid drainage. British journal of neurosurgery [Internet]. 2004 May
Vermeij FH, Hasan D, Vermeulen M, Tanghe HL, Van Gijn J. Predictive factors for deterioration from hydrocephalus after subarachnoid hemorrhage. Neurology [Internet]. 1994 Oct;44(10):1851–5.
Vapalahti M. Chronic shunt-dependent hydrocephalus after early surgical and early endovascular treatment of ruptured intracranial aneurysms. Neurosurgery [Internet]. 1999
schmieder K, Koch R, Lucke S HA. Haemorrhage, factors influencig shunt dependency after aneurysmal subarachnoid. 1999;60(3):
Cl L, Al K, Sl H. acute hydrocephalusand chronic hydrocephalus with the need of postoperative shunting after aneurysmal subarachnoid hemorrhage. 1999;15(3)
Vale FL, Bradley EL, Fisher WS. The relationship of subarachnoid hemorrhage and the need for postoperative shunting. Journal of neurosurgery [Internet]. 1997 Mar;86(3):462–6.
Tapaninaho a, Hernesniemi J, Vapalahti M, Niskanen M, Kari a, Luukkonen M, et al. Shunt-dependent hydrocephalus after subarachnoid haemorrhage and aneurysm surgery: timing of surgery is not a risk factor. Acta neurochirurgica [Internet]. 1993 Jan;123(3-4):118–24.
Lai L, Morgan MK. Predictors of in-hospital shunt-dependent hydrocephalus following rupture of cerebral aneurysms. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [Internet]. 2013 Mar 18
Oliveira JG De, Goethe-university JW, Beck J, Setzer M. Risk of Shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: A single institution series and meta-analysis. 2007;61(5):924–34.
Van Gijn J, Hijdra a, Wijdicks EF, Vermeulen M, Van Crevel H. Acute hydrocephalus after aneurysmal subarachnoid hemorrhage. Journal of neurosurgery [Internet]. 1985 Sep;63(3):355–62.
Nam K-H, Hamm I-S, Kang D-H, Park J, Kim Y-S. Risk of Shunt Dependent Hydrocephalus after Treatment of Ruptured Intracranial Aneurysms : Surgical Clipping versus Endovascular Coiling According to Fisher Grading System. Journal of Korean Neurosurgical Society [Internet]. 2010 Oct;48(4):313–8.
Akyuz M, Tuncer R. The effects of fenestration of the interpeduncular cistern membrane arousted to the opening of lamina terminalis in patients with ruptured ACoA aneurysms: a prospective, comparative study. Acta neurochirurgica [Internet]. 2006 Jul
Yagargil, M. G. M. Microsurgical anatomy of the basal cisterns and vessels of the brain, diagnostic studies, general operative techniques and pathological considerations of the intracranial aneurysms. Inc. GTVTS, York S• NYN, editors. 1984. p. 346–7.
Komotar RJ, Olivi A, Rigamonti D, Al ET. MICROSURGICAL F ENESTRATION OF THE L AMINA. 2002;51(6):1403–13.
Kusske J a, Turner PT, Ojemann G a, Harris a B. Ventriculostomy for the treatment of acute hydrocephalus following subarachnoid hemorrhage [Internet]. Journal of neurosurgery. 1973. p. 591–5.
Macdonald RL. Lumbar drainage after subarachnoid hemorrhage: does it reduce vasospasm and delayed hydrocephalus? Neurocritical care [Internet]. 2007 Jan
Connolly ES, Rabinstein A a, Carhuapoma JR, Derdeyn CP, Dion J, Higashida RT, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/american Stroke Association. Stroke; a journal of cerebral circulation [Internet]. 2012 Jun
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spelling Trillos Peña, Carlos Enrique79297795600Herrera Díaz, Ana CatalinaSalgado Cardozo, JuanMedico(a) y Cirujano(a)859e31a7-8453-4aca-b6b7-5461001408f3-18d426efc-db5c-4911-a199-3104ff1f1f1c-12013-08-05T21:36:30Z2013-08-05T21:36:30Z2013-07-082013Objetivo: Determinar si los grados altos en la escala de Fisher son útiles como factores pronósticos en el desarrollo de hidrocefalia en pacientes colombianos con diagnóstico de hemorragia subaracnoidea (HSA) espontánea vistos en el Hospital Universitario Clínica San Rafael (HUCSR) desde Enero de 2005 a Abril de 2012 con seguimiento a 12 meses. Métodos: 251 pacientes fueron incluidos en una cohorte restrospectiva. La asociación entre la escala de Fisher y el desarrollo de hidrocefalia en pacientes con HSA espontánea fue analizada a través de un análisis bivariado y multivariado. Se realizó una revisión sistemática de literatura (RSL) enfocada en factores de riesgo asociados con el desarrollo de hidrocefalia en HSA espontánea. Resultados: En nuestra cohorte de pacientes, la etiología de la HSA fue predominantemente por ruptura de aneurismas; 78,5%. La prevalencia de hidrocefalia fue de 27,1%. La sobrevida a 12 meses fue de 65,7%. La edad promedio de los pacientes incluidos fue 55,5 ± 15 años, en su mayoría mujeres 65,7%. Tener Fisher 4 y Hunt-Hess III están asociados con el desarrollo de hidrocefalia: OR ajustado; 2.93 IC 95%: 1.51-5.65, P <0.001, OR ajustado 2.83 IC 95%: 1.31-6.17 P=0.008 respectivamente. La RSL mostró una prevalencia de hidrocefalia de 17 a 68% y una mortalidad entre un 3.0% a 33%. El 50% de los estudios analizados asocian significativamente la hemorragia intraventricular ( Fisher 4) con hidrocefalia. Conclusión: Nuestros resultados confirman conceptos actuales de que la hidrocefalia post HSA es obs-tructiva y secundaria como tener Fisher IV y deterioro neurológico al ingreso (Hunt y Hess III).Objetive. To determine if high grades of Fisher scale are useful to predict the development of hydrocephalus in consecutive Colombian patients with spontaneous subarachnoid hemorrhage (SAH) assessed from January 2005 to April 2012 with 12 month follow-up. Methods. 251 patients were included in a restrospective manner. The association between Fisher scale and hydrocephalus was analyzed bivariate and multivariate analysis. In addition, a systematic literature review (SLR) was done. Results. In our cohort of patients, the etiology of SAH was due to aneurysms; 78,5%. The prevalence of hydrocephalus was found to be of 27,1%. Overall survival with a 12 month follow-up was of 65,7%. Average age of included patients was 55,5 ± 15 years, and most of them were women; 65,7%. Having Fisher 4 and Hunt-Hess III are significantly associated with hydrocephalus: adjusted OR: 2.93 95% CI: 1.51-5.65, P <0.001, adjusted OR: 2.83 95% CI: 1.31-6.17 P=0.008 respectively. The SRL showed an overall prevalence of hydrocephalus between 17 and 68% and mortality varied between 3.0% and 33%. 50% of the included studies significantly associated intraventricular hemorrhage ( Fisher 4) with hydrocephalus. Conclusion. Our results confirm current concepts on post-SAH hydrocephalus and the fact that is obstructive and secondary to Fisher 4 and having neurological impairment on admission (Hunt and Hess III).application/pdfDocumentohttps://doi.org/10.48713/10336_4515 http://repository.urosario.edu.co/handle/10336/4515spaUniversidad del RosarioFacultad de medicinaAbierto (Texto completo)Atribución-NoComercial-SinDerivadas 2.5 ColombiaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARÁGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.http://creativecommons.org/licenses/by-nc-nd/2.5/co/http://purl.org/coar/access_right/c_abf2O’Kelly CJ, Kulkarni A V, Austin PC, Urbach D, Wallace MC. Shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage: incidence, predictors, and revision rates. Clinical article. Journal of neurosurgery [Internet]. 2009 Dec [cited 2013 May 31];111(5):1029–35. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19361256Rhoney DH, McAllen K, Liu-DeRyke X. Current and future treatment considerations in the management of aneurysmal subarachnoid hemorrhage. Journal of pharmacy practice [Internet]. 2010 Oct [cited 2013 May 31];23(5):408–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21507846Manno EM. Subarachnoid hemorrhage. Neurologic clinics [Internet]. 2004 May [cited 2013 May 30];22(2):347–66. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15062516Jartti P, Karttunen a., Jartti a., Ukkola V, Sajanti J, Pyhtinen J. Factors Related to Acute Hydrocephalus After Subarachnoid Hemorrhage. Acta Radiologica [Internet]. 2004 Jan [cited 2013 May 31];45(3):333–9.Woernle CM, Winkler KML, Burkhardt J-K, Haile SR, Bellut D, Neidert MC, et al. Hydrocephalus in 389 patients with aneurysm-associated subarachnoid hemorrhage. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [Internet].Germanwala A V, Huang J, Tamargo RJ. Hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery clinics of North America [Internet]. Elsevier Ltd; 2010 May [cited 2013 May 31];21(2):263–70.Galera R, Greitz T. Hydrocephalus in the adult secondary to the rupture of intracranial arterial aneurysms. Journal of neurosurgeryDorai Z, Hynan LS, Kopitnik T a., Samson D. Factors Related to Hydrocephalus after Aneurysmal Subarachnoid Hemorrhage. Neurosurgery [Internet]. 2003 Apr [cited 2013 May 31];52(4):763–71.Demirgil BT, Tugcu B, Postalci L, Guclu G, Dalgic a, Oral Z. Factors leading to hydrocephalus after aneurysmal subarachnoid hemorrhage. Minimally invasive neurosurgery : MIN [Internet]. 2003 DecSheehan JP, Polin RS, Sheehan JM, Baskaya MK, Kassell NF. Factors associated with hydrocephalus after aneurysmal subarachnoid hemorrhage. 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The effects of fenestration of the interpeduncular cistern membrane arousted to the opening of lamina terminalis in patients with ruptured ACoA aneurysms: a prospective, comparative study. Acta neurochirurgica [Internet]. 2006 JulYagargil, M. G. M. Microsurgical anatomy of the basal cisterns and vessels of the brain, diagnostic studies, general operative techniques and pathological considerations of the intracranial aneurysms. Inc. GTVTS, York S• NYN, editors. 1984. p. 346–7.Komotar RJ, Olivi A, Rigamonti D, Al ET. MICROSURGICAL F ENESTRATION OF THE L AMINA. 2002;51(6):1403–13.Kusske J a, Turner PT, Ojemann G a, Harris a B. Ventriculostomy for the treatment of acute hydrocephalus following subarachnoid hemorrhage [Internet]. Journal of neurosurgery. 1973. p. 591–5.Macdonald RL. Lumbar drainage after subarachnoid hemorrhage: does it reduce vasospasm and delayed hydrocephalus? Neurocritical care [Internet]. 2007 JanConnolly ES, Rabinstein A a, Carhuapoma JR, Derdeyn CP, Dion J, Higashida RT, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/american Stroke Association. 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