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Latyshev Ia.A.

FGBNU "NII neĭrokhirurgii im. akad. N.N. Burdenko", Moskva

Kravchuk A.D.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Likhterman L.B.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Zakharova N.E.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Zaĭtsev O.S.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Gavrilov A.G.

N.N. Burdenko Institute of Neurosurgery, Moscow, Russia

Okhlopkov V.A.

GBOU "Omskaia gosudarstvennaia meditsinskaia akademiia" Ministerstva zdravookhraneniia Rossiĭskoĭ Federatsii

Potapov A.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Modern diagnostics and treatment of posttraumatic hydrocephalus

Authors:

Latyshev Ia.A., Kravchuk A.D., Likhterman L.B., Zakharova N.E., Zaĭtsev O.S., Gavrilov A.G., Okhlopkov V.A., Potapov A.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2018;82(3): 81‑87

DOI: 10.17116/neiro201882381

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Table of contents

MODERN DIAGNOSTICS AND TREATMENT OF POSTTRAUMATIC HYDROCEPHALUS
MODERN DIAGNOSTICS AND TREATMENT OF POSTTRAUMATIC HYDROCEPHALUS

To cite this article:

Latyshev IaA, Kravchuk AD, Likhterman LB, et al. . Modern diagnostics and treatment of posttraumatic hydrocephalus. Burdenko's Journal of Neurosurgery. 2018;82(3):81‑87. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201882381

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
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Abstract:

One of the frequent consequences of severe traumatic brain injury is posttraumatic hydrocephalus that not only hampers the processes of consciousness recovery, rehabilitation, and social adaptation of patients but also is the cause of disability. Pathological processes underlying the clinical picture of posttraumatic hydrocephalus and the relationship between CSF circulation disorders and structural changes in the brain substance have not been adequately studied. Of particular importance are patients in the chronic vegetative or minimally conscious state, recovery from which is blocked by posttraumatic hydrocephalus. The question of reversibility of impaired consciousness depending on the disease duration has remained open. High risks of purulent-inflammatory complications of shunting surgery are especially important in patients with chronic infection foci (tracheostomy, gastrostomy, epicystostomy, prolonged bladder catheterization, pressure ulcers, etc.), but their actual effect on the shunting outcomes has not been revealed. Posttraumatic hydrocephalus remains a topical neurosurgical problem requiring clarification of its diagnostic criteria, differentiation from atrophy-related ventriculomegaly, and comprehensive development of pathogenetic and therapeutic aspects.

Keywords:

traumatic brain injury consequences
posttraumatic hydrocephalus
secondary hydrocephalus
ventriculomegaly
consciousness recovery
shunting surgery
shunt infection

Authors:

Latyshev Ia.A.

FGBNU "NII neĭrokhirurgii im. akad. N.N. Burdenko", Moskva

Kravchuk A.D.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Likhterman L.B.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Zakharova N.E.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Zaĭtsev O.S.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Gavrilov A.G.

N.N. Burdenko Institute of Neurosurgery, Moscow, Russia

Okhlopkov V.A.

GBOU "Omskaia gosudarstvennaia meditsinskaia akademiia" Ministerstva zdravookhraneniia Rossiĭskoĭ Federatsii

Potapov A.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

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References:

  1. Likhterman LB, Potapov AA, Kravchuk AD, Okhlopkov VA. Klinika i khirurgiya posledstvii cherepno-mozgovoi travmy. Consilium Medicum. Khirurgiya. (Pril.) 2013;01:42-50. (In Russ.)
  2. Konovalov AN, Potapov AA, Likhterman LB, Kravchuk AD. Khirurgiya posledstvii cherepno-mozgovoi travmy. M.: PBOYuL Andreeva T.M., 2006. (In Russ.)
  3. Potapov AA, Krylov VV, Gavrilov AG, Kravchuk AD, Lihterman LB, Petrikov SS, Talypov AEh, Zaharova NEh, Solodov AA. Guidelines for the management of severe traumatic brain injury. Part 3. Surgical management of severe traumatic brain injury (Options). Vopr Neirochir im N.N Burdenko. 2016;80(2):93-101. (In Russ.) https://doi.org/10.17116/neiro201680293-101
  4. Hutchinson PJ, Kolias AG, Timofeev IS, Corteen EA, Czosnyka M, Timothy J, Anderson I, Bulters DO, Belli A, Eynon CA, Wadley J, Mendelow AD, Mitchell PM, Wilson MH, Critchley G, Sahuquillo J, Unterberg A, Servadei F, Teasdale GM, Pickard JD, Menon DK, Murray GD, Kirkpatrick PJ. Trial of decompressive craniectomy for traumatic intracranial hypertension. N Engl J Med. 2016;375:1119-1130. https://doi.org/10.1056/NEJMoa1605215
  5. Dobrokhotova TA, Zaitsev OS, Kravchuk AD, Loshakov VA. Vliyanie shuntiruyushchikh operatsii na psikhopatologicheskuyu simptomatiku posttravmaticheskoi gidrotsefalii. Voprosy neirokhirurgii. 1997;4:12-14. (In Russ.)
  6. Dandy W, Blackfan KD. Internal hydrocephalus. An experimental, clinical and pathological study. Am J Dis Child. 1914;8:406-482.
  7. Hakim S, Adams RD. The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics. J Neurol Sci. 1965 Jul-Aug;2(4):307-327.
  8. Kishore PR, Lipper MH, Miller JD, Girevendulis AK, Becker DP, Vines FS. Post-traumatic hydrocephalus in patients with severe brain injury. Neuroradiology. 1978;16:261-265.
  9. Marmarou A, Foda MA, Bandoh K, Yoshihara M, Yamamoto T, Tsuji O, Zasler N, Ward JD, Young HF. Posttraumatic ventriculomegaly: hydrocephalus or atrophy? A new approach for diagnosis using CSF dynamics. J Neurosurg. 1996 Dec;85(6):1026-1035.
  10. Kravchuk AD. Rekonstruktivnaya i maloinvazivnaya khirurgiya posledstvii i oslozhnenii cherepno-mozgovoi travmy: Dis. … d-ra med. nauk. M. 2000. (In Russ.)
  11. Choi I, Park HK, Chang JC, Cho SJ, Choi SK, Byun BJ. Clinical factors for the development of posttraumatic hydrocephalus after decompressive craniectomy. J Korean Neurosurg Soc. 2008 May;4 3(5): 227-231. https://doi.org/10.3340/jkns.2008.43.5.227
  12. Kammersgaard LP, Linnemann M, Tibæk M. Hydrocephalus following severe traumatic brain injury in adults. Incidence, timing, and clinical predictors during rehabilitation. NeuroRehabilitation. 2013;33(3):473-480. https://doi.org/10.3233/NRE-130980
  13. Baron MA, Maiorova NA. Funktsional’naya stereomorfologiya mozgovykh obolochek. M. 1982;352. (In Russ.)
  14. Dobrovol’skii GF. Ul’trastruktura morfologicheskogo substrata likvoroentsefalicheskogo bar’era pri subarakhnoidal’nom krovoizliyanii (eksperimental’noe issledovanie). Vopr. neirokhirurgii. 1980; 5:46-48. (In Russ.)
  15. Klinicheskoe rukovodstvo po cherepno-mozgovoi travme. Sistema likvoroobrashcheniya pri cherepno-mozgovoi travme. Pod red. Konovalov AN, Dobrovol’skii GF. M. 1998;1:217-229. (In Russ.)
  16. Mukhametzhanov KhZh. Patologiya likvo-rnoi sistemy pri ChMT: Dis. … d-ra med. nauk. M. 2002. (In Russ.)
  17. Ki HJ, Lee HJ, Lee HJ, Yi JS, Yang JH, Lee IW. The Risk factors for hydrocephalus and subdural hygroma after decompressive craniectomy in head injured patients. J Korean Neurosurg Soc. 2015 Sep;58(3):254-261. https://doi.org/10.3340/jkns.2015.58.3.254
  18. Jiao QF, Liu Z, Li S, Zhou LX, Li SZ, Tian W, You C. Influencing factors for posttraumatic hydrocephalus in patients suffering from severe traumatic brain injuries. Chin J Traumatol. 2007 Jun;10(3):159-162.
  19. Honeybul S, Ho KM. Incidence and risk factors for post-traumatic hydrocephalus following decompressive craniectomy for intractable intracranial hypertension and evacuation of mass lesions. J Neurotrauma. 2012 Jul 1;29(10):1872-1878. https://doi.org/10.1089/neu.2012.2356
  20. De Bonis P, Sturiale CL, Anile C, Gaudino S, Mangiola A, Martucci M, Colosimo C, Rigante L, Pompucci A. Decompressive craniectomy, interhemispheric hygroma and hydrocephalus: a timeline of events? Clin Neurol Neurosurg. 2013 Aug;115(8):1308-1312. https://doi.org/10.1016/j.clineuro.2012.12.011
  21. Takeuchi S, Nawashiro H, Otani N, Shima K. Post-traumatic hydrocephalus following decompressive craniectomy. J Neurotrauma. 2012 Mar 20;29(5):1028. https://doi.org/10.1089/neu.2010.1743
  22. Waziri A, Fusco D, Mayer SA, McKhann GM2nd, Connolly ESJr. Postoperative hydrocephalus in patients undergoing decompressive hemicraniectomy for ischemic or hemorrhagic stroke. Neurosurgery. 2007 Sep;61(3):489-493;discussion 493-494. https://doi.org/10.1227/01.NEU.0000280022.61888.1
  23. Loshakov VA, Yusef ES, Likhterman LB. Diagnostika i khirurgicheskoe lechenie posttravmaticheskoi gidrotsefalii. Voprosy neirokhirurgii. 1993;3:18-23. (In Russ.)
  24. Relkin N, Marmarou A, Klinge P, Bergsneider M, Black PM. Guidelines for management of idiopathic normal pressure hydrocephalus. Neurosurgery. 2005 Sep;57(3 Suppl):S40-S52.
  25. Mori E, Ishikawa M, Kato T, Kazui H, Miyake H, Miyajima M, Nakajima M, Hashimoto M, Kuriyama N, Tokuda T, Ishii K, Kaijima M, Hirata Y, Saito M, Arai H. Japanese Society of Normal Pressure Hydrocephalus. Guidelines for management of idiopathic normal pressure hydrocephalus: second edition. Neurol Med Chir (Tokyo). 2012;52(11):775-809.
  26. Zaitsev OS, Tsarenko SV. Vykhod iz komy (terapiya postkomatoznykh sostoyanii). M.: Litass, 2012;120. (In Russ.)
  27. Aleksandrova EV, Tenedieva VD, Potapov AA. Posttravmaticheskie bessoznatel’nye sostoyaniya: fundamental’nye i klinicheskie aspekty. M: GEOTAR-Media, 2015. (In Russ.)
  28. Konovalov AN, Potapov AA, Likhterman LB, Kornienko VN, Kravchuk AD, Okhlopkov VA, Zakharova NE, Yakovlev SB. Rekonstruktivnaya i minimal’no invazivnaya khirurgiya posledstvii cherepno-mozgovoi travmy. M: Izd-vo T.A. Alekseeva, 2012. (In Russ.)
  29. Kitagaki H, Mori E, Ishii K, Yamaji S, Hirono N, Imamura T. CSF spaces in idiopathic normal pressure hydrocephalus: morphology and volumetry. AJNR Am J Neuroradiol. 19:1277-1284.
  30. Poca MA, Sahuquillo J, Mataró M, Benejam B, Arikan F, Báguena M. Ventricular enlargement after moderate or severe head injury: a frequent and neglected problem. J Neurotrauma. 2005 Nov;22(11):1303-1310.
  31. Ishii K, Soma T, Kono AK, Sasaki H, Miyamoto N, Fukuda T, Murase K. Automatic volumetric measurement of segmented brain structures on magnetic resonance imaging. Radiat Med. 2006;24:422-430.
  32. Ishii K, Soma T, Shimada K, Oda H, Terashima A, Kawasaki R. Automatic volumetry of the cerebrospinal fluid space in idiopathic normal pressure hydrocephalus. Dement Geriatr Cogn Dis Extra. 2013 Dec 20;3(1):489-496. https://doi.org/10.1159/000357329
  33. Toma AK, Holl E, Kitchen ND, Watkins LD. Evans’ index revisited: the need for an alternative in normal pressure hydrocephalus. Neurosurgery. 2011 Apr;68(4):939-944. https://doi.org/10.1227/NEU.0b013e318208f5e0
  34. Hashimoto M, Ishikawa M, Mori E, Kuwana N. Diagnosis of idiopathic normal pressure hydrocephalus is supported by MRI-based scheme: a prospective cohort study. Cerebrospinal Fluid Res. 2010 Oct 31;7:18. https://doi.org/10.1186/1743-8454-7-18
  35. Forner Giner J, Sanz-Requena R, Flórez N, Alberich-Bayarri A, García-Martí G, Ponz A, et al. Quantitative phase-contrast MRI study of cerebrospinal fluid flow: a method for identifying patients with normal-pressure hydrocephalus. Neurología. 2014;29:68-75.
  36. Aslan K, Tokatlioglu O, Aydin R, Polat AV, Incesu L. Normal pressure hydrocephalus and phase contrast MRI. Turk Neurosurg. 2014;24(4):525-531. https://doi.org/10.5137/1019-5149.JTN.9101-13.1
  37. Dixon GR, Friedman JA, Luetmer PH, Quast LM, McClelland RL, Petersen RC, Maher CO, Ebersold MJ. Use of cerebrospinal fluid flow rates measured by phase-contrast MR to predict outcome of ventriculoperitoneal shunting for idiopathic normal-pressure hydrocephalus. Mayo Clin Proc. 2002 Jun;77(6):509-514.
  38. Kahlon B, Annertz M, Ståhlberg F, Rehncrona S. Is aqueductal stroke volume, measured with cine phase-contrast magnetic resonance imaging scans useful in predicting outcome of shunt surgery in suspected normal pressure hydrocephalus? Neurosurgery. 2007 Jan;60(1):124-129; discussion 129-130.
  39. Bateman GA, Loiselle AM. MR measurement of intracranial hydrodynamics and compliance. Acta Neurochir (Wien). 2007;149:455-462. https://doi.org/10.1007/s00701-007-1142-0
  40. Scollato A, Gallina P, Di Lorenzo N, Bahl G. Is aqueductal stroke volume, measured with cine phase-contrast magnetic resonance imaging scans useful in predicting outcome of shunt surgery in suspected normal pressure hydrocephalus? Neurosurgery. 2008 Dec;63(6):E1209; author reply E1209. https://doi.org/10.1227/01.NEU.0000315863.32544.EB
  41. Potapov AA, Zaharova NE, Kornienko VN, Pronin IN, Aleksandrova EV, Zajcev OS, Lihterman LB, Gavrilov AG, Danilov GV, Oshorov AV, Sychev AA, Polupan AA. Nejroanatomicheskie osnovy travmaticheskoj komy: klinicheskie i magnitno-rezonansnye korreljaty. J Voprosy nejrohirurgii im. N.N. Burdenko. 2014;78(1): 4-13. (In Russ.)
  42. Hattori T, Yuasa T, Aoki S, Sato R, Sawaura H, Mori T, Mizusawa H. Altered microstructure in corticospinal tract in idiopathic normal pressure hydrocephalus: comparison with Alzheimer disease and Parkinson disease with dementia. AJNR Am J Neuroradiol. 2011 Oct;32(9):1681-1687. https://doi.org/10.3174/ajnr.A2570
  43. Koyama T, Marumoto K, Domen K, Miyake H. White matter characteristics of idiopathic normal pressure hydrocephalus: a diffusion tensor tract-based spatial statistic study. Neurol Med Chir (Tokyo). 2013;53(9):601-608.
  44. Ogata Y, Ozaki A, Ota M, Oka Y, Nishida N, Tabu H, Sato N, Hanakawa T. Interhemispheric resting-state functional connectivity predicts severity of idiopathic normal pressure hydrocephalus. Front Neurosci. 2017 Sep 1;11:470. https://doi.org/10.3389/fnins.2017.00470
  45. Belliard H, Roux FX, Turak B, Nataf F, Devaux B, Cioloca C. The codman medos programmable shunt valve. Evaluation of 53 implantations in 50 patients. Neurochirurgie. 1996;42(3):139-145;discussion 145-146.
  46. Pollack IF, Albright AL, Adelson PD. A randomized controlled study of a programmable shunt valve versus a conventional valve for patients with hydrocephalus. Hakim—Medos investigator group. Neurosurgery. 1999 Dec;45(6):1399-1408;discussion 1408-1411.
  47. Czosnyka Z, Czosnyka M, Copeman J, Pickard JD. A randomized, controlled study of a programmable shunt valve versus a conventional valve for patients with hydrocephalus. Neurosurgery. 2000 Nov;47(5):1250-1251.
  48. Serarslan Y, Yilmaz A, Çakır M, Güzel E, Akakin A, Güzel A, Urfalı B, Aras M, Kaya ME, Yılmaz N. Use of programmable versus nonprogrammable shunts in the management of normal pressure hydrocephalus: a multicenter retrospective study with cost-benefit analysis in Turkey. Medicine (Baltimore). 2017 Sep;96(39):e8185. https://doi.org/10.1097/MD.0000000000008185
  49. Baldauf J, Fritsch MJ, Oertel J, Gaab MR, Schröder H. Value of endoscopic third ventriculostomy instead of shunt revision. Minim Invasive Neurosurg. 2010 Aug;53(4):159-163. https://doi.org/10.1055/s-0030-1268415
  50. Bayston R. Hydrocephalus shunt infections. J Antimicrob Chemother. 1994 Aug;34(Suppl A):75-84.
  51. Bayston R, Ashraf W, Bhundia C. Mode of action of an antimicrobial biomaterial for use in hydrocephalus shunts. J Antimicrob Chemother. 2004 May;53(5):778-782.
  52. Simon TD, Hall M, Riva-Cambrin J, Albert JE, Jeffries HE, Lafleur B, Dean JM, Kestle JR. Infection rates following initial cerebrospinal fluid shunt placement across pediatric hospitals in the United States. Clinical article. J Neurosurg Pediatr. 2009 Aug;4(2):156-165. https://doi.org/10.3171/2009.3.PEDS08215
  53. Simon TD, Butler J, Whitlock KB, Browd SR, Holubkov R, Kestle JR, Kulkarni AV, Langley M, Limbrick DDJr, Mayer-Hamblett N, Tamber M, Wellons JC3rd, Whitehead WE, Riva-Cambrin J. Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study. J Pediatr. 2014 Jun;164(6):1462-1468.e2. https://doi.org/10.1016/j.jpeds.2014.02.013
  54. Kestle JR, Riva-Cambrin J, Wellons JC3rd, Kulkarni AV, Whitehead WE, Walker ML, Oakes WJ, Drake JM, Luerssen TG, Simon TD, Holubkov R. A standardized protocol to reduce cerebrospinal fluid shunt infection: the hydrocephalus clinical research network quality improvement initiative. J Neurosurg Pediatr. 2011 July;8(1):22-29. https://doi.org/10.3171/2011.4.PEDS10551
  55. Richards H, Seeley Y, Pickard J. Do antibiotic-impregnated shunt catheters reduce shunt infection? Data from the UK Shunt Registry. Cerebrospinal Fluid Research. 2006;3(Suppl 1):S55. https://doi.org/10.1186/1743-8454-3-S1-S55
  56. Ritz R, Roser F, Morgalla M, Dietz K, Tatagiba M, Will BE. Do antibiotic-impregnated shunts in hydrocephalus therapy reduce the risk of infection? An observational study in 258 patients. BMC Infectious Diseases. 2007;7:38. https://doi.org/10.1186/1471-2334-7-38
  57. Parker SL, McGirt MJ, Murphy JA, Megerian JT, Stout M, Engelhart L. Comparative effectiveness of antibiotic-impregnated shunt catheters in the treatment of adult and pediatric hydrocephalus: analysis of 12,589 consecutive cases from 287 US hospital systems. J Neurosurg. 2015 Feb;122(2):443-448. https://doi.org/10.3171/2014.10.JNS13395
  58. Simon TD, Mayer-Hamblett N, Whitlock KB, Langley M, Kestle JR., Riva-Cambrin J, Rosenfeld M, Thorell EA. Few patient, treatment, and diagnostic or microbiological factors, except complications and intermittent negative erebrospinal fluid (CSF) cultures during first CSF shunt infection, are associated with reinfection. J Pediatric Infect Dis Soc. 2014 Mar;3(1):15-22. https://doi.org/10.1093/jpids/pit050
  59. Simon TD, Hall M, Dean JM, Kestle JR, Riva-Cambrin J. Reinfection following initial cerebrospinal fluid shunt infection. J Neurosurg Pediatr. 2010 Sep;6(3):277-285. https://doi.org/10.3171/2010.5.PEDS09457
  60. Bondurant CP, Jimenez DF. Epidemiology of cerebrospinal fluid shunting. Pediatr Neurosurg. 1995;23(5):254-258;discussion 259.
  61. Aschoff A, Kremer P, Benesch C, Fruh K, Klank A, Kunze S. Overdrainage and shunt technology. A critical comparison of programmable, hydrostatic and variable-resistance valves and flow-reducing devices. Childs Nerv Syst. 1995 Apr;11(4):193-202.
  62. Ros B, Iglesias S, Martín Á, Carrasco A, Ibáñez G, Arráez MA. Shunt overdrainage syndrome: review of the literature. Neurosurg Rev. 2017 Mar 29. https://doi.org/10.1007/s10143-017-0849-5
  63. Pudenz RH, Foltz EL. Hydrocephalus: overdrainage by ventricular shunts. A review and recommendations. Surg Neurol. 1991 Mar;35(3):200-212. Review.
  64. Czosnyka Z, Czosnyka M, Richards HK, Pickard JD. Posture-related overdrainage: comparison of the performance of 10 hydrocephalus shunts in vitro. Neurosurgery. 1998 Feb;42(2):327-333;discussion 333-334.
  65. Kehler U, Kiefer M, Eymann R, Wagner W, Tschan CA, Langer N, Rohde V, Ludwig HC, Gliemroth J, Meier U, Lemcke J, Thomale UW, Fritsch M, Krauss JK, Mirzayan MJ, Schuhmann M, Huthmann A. PROSAIKA: a prospective multicenter registry with the first programmable gravitational device for hydrocephalus shunting. Clin Neurol Neurosurg. 2015 Jul 8;137:132-136. https://doi.org/10.1016/j.clineuro.2015.07.002
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