{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T22:46:49Z","timestamp":1774219609317,"version":"3.50.1"},"reference-count":17,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>A decompressive craniectomy (DC) is a surgical procedure sometimes utilized to manage refractory intracranial hypertension following severe traumatic brain injury (sTBI). The previous studies have established a relationship between DC and post traumatic hydrocephalus (PTH). This study aimed to identify the factors responsible for developing shunt-amenable PTH in patients who underwent DC following sTBI.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>A review of a prospectively collected database of all patients admitted with severe TBI in a tertiary neurosurgical center in North-west England between January 2012 and May 2022 was performed. PTH was defined as evidence of progressive ventricular dilatation, clinical deterioration, and\/or the eventual need for cerebrospinal fluid diversion (i.e., a ventriculoperitoneal shunt). Statistical analysis was carried out using IBM SPSS versus 28.0.1.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>Sixty-five patients met the eligibility criteria and were included in the study. The mean age of the PTH group was 31.38 \u00b1 14.67, while the mean age of the non-PTH group was slightly higher at 39.96 \u00b1 14.85. No statistically significant difference was observed between the two groups\u2019 mechanisms of traumatic injury (<jats:italic>P<\/jats:italic> = 0.945). Of the predictors investigated, cerebellar hematoma (and contusions) was significantly associated with PTH (<jats:italic>P<\/jats:italic> = 0.006).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This study concludes that cerebellar hematoma (and contusions) are associated with developing PTH in patients undergoing DC.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1121_2022","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T06:46:41Z","timestamp":1674197201000},"page":"18","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors associated with post traumatic hydrocephalus following decompressive craniectomy: A single-center experience"],"prefix":"10.25259","volume":"14","author":[{"given":"Damilola Alexander","family":"Jesuyajolu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terngu","family":"Moti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulahi Ajape","family":"Zubair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan","family":"Alnaser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Zanaty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Grundy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Evans","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,1,20]]},"reference":[{"key":"10.25259\/SNI_1121_2022\/ref-1","doi-asserted-by":"crossref","first-page":"227","DOI":"10.3340\/jkns.2008.43.5.227","article-title":"Clinical factors for the development of posttraumatic hydrocephalus after decompressive craniectomy","volume":"43","author":"Choi","year":"2008","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_1121_2022\/ref-2","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1056\/NEJMoa1102077","article-title":"Decompressive craniectomy in diffuse traumatic brain injury","volume":"364","author":"Cooper","year":"2011","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI_1121_2022\/ref-3","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1016\/j.ncl.2014.07.006","article-title":"Cerebellar hemorrhage","volume":"32","author":"Datar","year":"2014","journal-title":"Neurol Clin"},{"key":"10.25259\/SNI_1121_2022\/ref-4","doi-asserted-by":"crossref","first-page":"e406","DOI":"10.1016\/j.wneu.2018.04.216","article-title":"Risk factors predicting posttraumatic hydrocephalus after decompressive craniectomy in traumatic brain injury","volume":"116","author":"Di","year":"2018","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_1121_2022\/ref-5","first-page":"88","article-title":"Posttraumatic hydrocephalus after decompressive craniectomy in 126 patients with severe traumatic brain injury","volume":"77","author":"Fotakopoulos","year":"2016","journal-title":"J Neurol Surg A Cent Eur Neurosurg"},{"key":"10.25259\/SNI_1121_2022\/ref-6","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jocn.2020.01.027","article-title":"Post-traumatic hydrocephalus following decompressive hemicraniectomy: Incidence and risk factors in a prospective cohort of severe TBI patients","volume":"73","author":"Goldschmidt","year":"2020","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_1121_2022\/ref-7","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1080\/01616412.2000.11741034","article-title":"Post-traumatic hydrocephalus","volume":"22","author":"Guyot","year":"2000","journal-title":"Neurol Res"},{"key":"10.25259\/SNI_1121_2022\/ref-8","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3389\/fneur.2018.00337","article-title":"Predictors associated with post-traumatic hydrocephalus in patients with head injury undergoing unilateral decompressive craniectomy","volume":"9","author":"Hu","year":"2018","journal-title":"Front Neurol"},{"key":"10.25259\/SNI_1121_2022\/ref-9","doi-asserted-by":"crossref","first-page":"755","DOI":"10.3233\/NRE-141160","article-title":"Hydrocephalus during rehabilitation following severe TBI. 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