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Background <p>Decompressive craniectomy is a life-saving neurosurgical procedure that is performed to interrupt the pathophysiological processes associated with intracranial hypertension. This retrospective study aims to identify risk factors related to the development of hydrocephalus after decompressive craniectomy.</p> Methods <p>We retrospectively analyzed the data of 184 patients who underwent decompressive craniectomy between January 1, 2018, and December 31, 2022. The analysis included various risk factors, including initial diagnostic parameters, technical aspects of the operation, and postoperative complications.</p> Results <p>From the analysis, we found that the incidence of subdural hygroma, blood contamination of the ventricular system, and postoperative infectious complications are associated with an increased risk of developing hydrocephalus. At the same time, we found that some technical parameters of the operation, such as the size of the decompressive craniectomy, do not significantly affect the development of hydrocephalus.</p> Conclusions <p>Identification of risk factors associated with the development of hydrocephalus after decompressive craniectomy helps intensively monitor such patients. The result is a reduction in the incidence of hydrocephalus and better management of its eventual occurrence.</p>

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Risk Factors for Hydrocephalus After Decompressive Craniectomy

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月29日

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  • Kamil Knorovsky,
  • Vladimir Katuch,
  • Jan Banoci,
  • Rastislav Grega,
  • Veronika Magocova,
  • Vladimir Sabo,
  • Michal Orlicky,
  • Miroslav Gajdos,
  • Peter Kolarcik

摘要

Background

Decompressive craniectomy is a life-saving neurosurgical procedure that is performed to interrupt the pathophysiological processes associated with intracranial hypertension. This retrospective study aims to identify risk factors related to the development of hydrocephalus after decompressive craniectomy.

Methods

We retrospectively analyzed the data of 184 patients who underwent decompressive craniectomy between January 1, 2018, and December 31, 2022. The analysis included various risk factors, including initial diagnostic parameters, technical aspects of the operation, and postoperative complications.

Results

From the analysis, we found that the incidence of subdural hygroma, blood contamination of the ventricular system, and postoperative infectious complications are associated with an increased risk of developing hydrocephalus. At the same time, we found that some technical parameters of the operation, such as the size of the decompressive craniectomy, do not significantly affect the development of hydrocephalus.

Conclusions

Identification of risk factors associated with the development of hydrocephalus after decompressive craniectomy helps intensively monitor such patients. The result is a reduction in the incidence of hydrocephalus and better management of its eventual occurrence.