김충현
2019-11-30T08:02:07Z
2019-11-30T08:02:07Z
2017-09
WORLD NEUROSURGERY, v. 108, page. 859-868.e4
1878-8750
1878-8769
https://www.sciencedirect.com/science/article/abs/pii/S1878875017313773?via%3Dihub
https://repository.hanyang.ac.kr/handle/20.500.11754/115471
OBJECTIVE: Although many studies have evaluated risk factors associated with hydrocephalus after aneurysmal subarachnoid hemorrhage, specific ventricle volume changes after subarachnoid hemorrhage have not been evaluated. We sought to evaluate factors predicting ventricle volume enlargement in patients with aneurysmal subarachnoid hemorrhage by measuring ventricle volume with a validated, semiautomated tool.METHODS: Uni- and multivariable linear regression analyses were conducted with the follow-up ventricle volume as the dependent variable and the duration between subarachnoid hemorrhage occurrence and follow-up imaging as the independent variable, classified by the use of various predictive factors. A logistic regression model was used to calculate the odds ratio for the greater ventricle volume group compared with the lower ventricle volume group based on predictive factors.RESULTS: We included 173 participants with a mean age of 55.5 years. Overall, an approximate increase in ventricle volume of 1.1 mL was observed daily within 60 days of clipping due to subarachnoid hemorrhage. In the multivariate logistic regression analysis, patients in the first and second tertile groups for body mass index showed approximately a 5.9- and 4.1-fold increased risk of greater follow-up ventricle volume, respectively, compared with the third tertile group for body mass index within 60 days of subarachnoid hemorrhage.CONCLUSIONS: We found that greater body mass index independently predicted suppression of ventricle volume growth, owing to maintenance of subarachnoid trabeculae structures after subarachnoid hemorrhage. Further studies are needed to confirm our findings.
This work was supported by the research fund of Hanyang University (HY-201600000002777).
en_US
ELSEVIER SCIENCE INC
Body mass index
Hydrocephalus
Modified Fisher grade
Subarachnoid hemorrhage
Factors Predicting Ventricle Volume Increase After Aneurysmal Clipping in Patients with Subarachnoid Hemorrhage
Article
108
10.1016/j.wneu.2017.08.076
859-868
WORLD NEUROSURGERY
Bang, Ji Hoon
Na, Min Kyun
Kim, Choong Hyun
Kim, Jae Min
Cheong, Jin Hwan
Ryu, Je Il
Han, Myung-Hoon
2017002683
S
COLLEGE OF MEDICINE[S]
DEPARTMENT OF MEDICINE
kch5142