Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2006 Feb;21(1):113-8.
doi: 10.3346/jkms.2006.21.1.113.

Influence of lamina terminalis fenestration on the occurrence of the shunt-dependent hydrocephalus in anterior communicating artery aneurysmal subarachnoid hemorrhage

Jae Min Kim  1 , Ji Young Jeon, Jae Hoon Kim, Jin Hwan Cheong, Koang Hum Bak, Choong Hyun Kim, Hyeong Joong Yi, Kwang Myung Kim
Affiliations

Influence of lamina terminalis fenestration on the occurrence of the shunt-dependent hydrocephalus in anterior communicating artery aneurysmal subarachnoid hemorrhage

Jae Min Kim et al. J Korean Med Sci. 2006 Feb.

Abstract

Recently, it was reported that fenestration of the lamina terminalis (LT) may reduce the incidence of shunt-dependent hydrocephalus in aneurysmal subarachnoid hemorrhage (SAH). The authors investigated the efficacy of the LT opening on the incidence of shunt-dependent hydrocephalus in the ruptured anterior communicating artery (ACoA) aneurysms. The data of 71-ruptured ACoA aneurysm patients who underwent aneurysmal clipping in acute stage were reviewed retrospectively. Group I (n=36) included the patients with microsurgical fenestration of LT during surgery, Group II (n=35) consisted of patients in whom fenestration of LT was not feasible. The rate of shunt-dependent hydrocephalus was compared between two groups by logistic regression to control for confounding factors. Ventriculo-peritoneal shunts were performed after aneurysmal obliteration in 18 patients (25.4%). The conversion rates from acute hydrocephalus on admission to chronic hydrocephalus in each group were 29.6% (Group I) and 58.8% (Group II), respectively. However, there was no significant correlation between the microsurgical fenestration and the rate of occurrence of shunt-dependent hydrocephalus (p>0.05). Surgeons should carefully decide the concomitant use of LT fenestration during surgery for the ruptured ACoA aneurysms because of the microsurgical fenestration of LT can play a negative role in reducing the incidence of chronic hydrocephalus.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Graphs showing the distribution of patients according to variable factors. (A) Fisher grade is unexpectedly higher in Group II, and it has not statistical significance (p=0.2997; OR=0.5242). (B) Preoperative hydrocephalus and lamina terminalis (LT) fenestration is significantly associated (p=0.0287; OR=3.176). (C) In Group I, intraoperative ventriculostomy is performed in almost all cases as a routine procedure (p=<0.0001; OR=24.500).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Black PM. Hydrocephalus and vasospasm after subarachnoid hemorrhage from ruptured intracranial aneurysms. Neurosurgery. 1986;18:12–16. - PubMed
    1. Mohr G, Ferguson G, Khan M, Malloy D, Watts R, Benoit B, Weir B. Intraventricular hemorrhage from ruptured aneurysm: Retrospective analysis of 91 cases. J Neurosurg. 1983;58:482–487. - PubMed
    1. Vassilouthis J. The syndrome of normal pressure hydrocephalus. J Neurosurg. 1984;61:501–509. - PubMed
    1. Vassilouthis J, Richardson AE. Ventricular dilatation and communicating hydrocephalus following spontaneous subarachnoid hemorrhage. J Neurosurg. 1979;51:341–351. - PubMed
    1. Vale FL, Bradley EL, Fisher WS., 3rd The relationship of subarachnoid hemorrhage and the need for postoperative shunting. J Neurosurg. 1997;86:462–466. - PubMed