Aim of the study is :

  1. prevelance of ventriculomegally in post traumatic patients after head trauma

  2. To determine the incidence of surgically treated ventriculomegally within 6 months
     from head injury in a series of consecutive adult patients undergoing acute head CT
     following injury.

  3. importance of csf diversion in post traumatic ventriculomegally

Late Post Traumatic Ventriculomegally Does It Requires CSF Diversion ?

Hydrocephalus

Ventriculomegally

Ventricular enlargement is a common finding after severe head injury.This is generally
attributed to dysfunctional of perfusion and absorption of cerebrospinal fluid (CSF) or
secondary to an atrophic process from neuronal loss.[ late post-traumatic
ventriculomegally may be developed weeks to months after brain injury. Late post
traumatic ventriculomegally incidence peaked within three months after injury .

Its incidence deeply varies among series (0.7-50%), and this is mainly due to very
different diagnostic criteria Therefore, given the very high number of patients with
traumatic brain injury (TBIs), patients presenting with late post-traumatic
ventriculomegally are not infrequent.

The choice of the term ventriculomegally in the title reflects the difficulty in
differentiating a ventricular enlargement (secondary to post-traumatic brain damage with
atrophy) from an active hydrocephalic process.

Those patients with subarachnoid hemorrhage (SAH) had a threefold risk of developing
ventriculomegally compared to patients with no SAH during the 2-year follow-up period.
Also, decompressive craniectomy and the presence of subdural hygroma after craniectomy
seem to increase the risk for ventriculomegally.In craniectomy, the proximity of the
craniotomy to the skull midline might increase the risk as well. Other possible risk
factors for post traumatic ventriculomegaly include: increased age, cerebrospinal fuid
infection, and intraventricular hemorrhage . Inflammation-mediated adhesions related to
intracranial hemorrhages can explain the predisposition to post traumatic
ventriculomegally.

In fact, practically all patients with post-traumatic ventricular enlargement present
with symptoms of post-taumatic Lesions and almost never present with the Hakim-adams
trriad. Some of them present nonspecific symptoms, especially arrested clinical
improvement during rehabilitation programs, impaired consciousness or a worsening
neurologic status .

A classic clinical feature to suspect post traumatic ventriculomegally after TBI is poor
improvement or stagnation of recovery .

Early recognition of post traumatic ventriculomegally is essential in the follow-up of
patients with TBIs, as cerebrospinal fluid diversion (ventricular shunting) has been
shown to improve outcome during rehabilitation

Ventricular enlargement is a common finding after severe head injury. This is generally
attributed to dysfunctional of perfusion and absorption of cerebrospinal fluid (CSF) or
secondary to an atrophic process from neuronal loss.

late post-traumatic ventriculomegally may be developed weeks to months after brain
injury. Late post traumatic ventriculomegally incidence peaked within three months after
injury A classic clinical feature to suspect post traumatic ventriculomegally after TBI
is poor improvement or stagnation of recovery .

Early recognition of post traumatic ventriculomegally is essential in the follow-up of
patients with TBIs, as cerebrospinal fluid diversion (ventricular shunting) has been
shown to improve outcome during rehabilitation

Ventricular enlargement is a common finding after severe head injury.This is generally
attributed to dysfunctional of perfusion and absorption of cerebrospinal fluid (CSF) or
secondary to an atrophic process from neuronal loss.

late post-traumatic ventriculomegally may be developed weeks to months after brain
injury. Late post traumatic ventriculomegally incidence peaked within three months after
injury A classic clinical feature to suspect post traumatic ventriculomegally after TBI
is poor improvement or stagnation of recovery.

Early recognition of post traumatic ventriculomegally is essential in the follow-up of
patients with TBIs, as cerebrospinal fluid diversion (ventricular shunting) has been
shown to improve outcome during rehabilitation

Resident Doctor

This group will be followed up by close observation of GCS ,ct brain ,fundus examination
&may need Csf flowmetry

Late Post Traumatic Ventriculomegally Does It Requires CSF Diversion ?

About this trial

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Type

Placebo

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