Management and outcome of post traumatic hydrocephalus

Abstract

Background: Post traumatic hydrocephalus (PTH) is frequent sequelae of moderate and severe traumatic brain injury. It is a frequent case of delayed deterioration and worsening of initial symptoms of head injury .we studied 31 cases of PTH diagnosed and treated at our institute from Aug 2013 to Aug 2015. Material and methods: Retrospective study of clinico-radiological profile of these patients diagnosed with PTH was noted at the time of initial trauma and when PTH developed. These cases were treated by ventriculo-peritoneal shunting and outcome was analysed. Results: Incidence of PTH in our study is 7.8%. out of 31 cases 26 were male (83.87%).RTA was the most common mode of injury (77.41%),contusion was the most common finding on C.T scan 19 cases (61.29%).PTH had very good outcome with v.p shunting in 93.54%. Conclusion: Post traumatic hydrocephalus is sequelae of traumatic brain injury and can present in form of various neurological symptoms after variable days of initial trauma. C.T scan is the investigation of choice to quickly diagnose PTH. Outcome of v.p shunting in PTH in very good.