Post-hemorrhagic hydrocephalus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients over the age of 18 2. Patients with confirmed intracerebral hemorrhage, intraventricular hemorrhage, subarachnoid hemorrhage, or traumatic brain injury as determined by cranial CT or MRI, with complete demographic and clinical data. 3. Diagnosed with PHH within 3 months of follow-up: A. Evans index (maximum width of the frontal horn/maximum biparietal diameter at the same level) greater than 0.3; B. Enlargement of the anterior horn of the lateral ventricle, temporal horn, and third ventricle, along with periventricular interstitial edema; C. Presentation of PHH clinical symptoms: neurocognitive dysfunction in conscious patients (e.g., depression, decision-making difficulties, memory or language impairments), motor disturbances (unsteady gait, ataxia), and urinary or fecal incontinence; lack of improvement or worsening of consciousness in comatose patients, with hydrocephalus diagnosed via imaging (refer to the "Chinese Expert Consensus on the Standardized Treatment of Hydrocephalus (2013 Edition)" for specific diagnostic criteria). 4. No contraindications for lumbar puncture post-surgery, with the patient or legal representative signing the "Informed Consent for Lumbar Puncture". 5.The patient, or the patient's legally authorized representative, consents to participate in the research and signs the "Ethics Informed Consent Form".
Exclusion criteria
Exclusion criteria: 1. Minors under the age of 18, pregnant women, or lactating patients. 2. Patients with past or current comorbid central nervous system diseases, including but not limited to tumors, infections, or those in a decompressive craniectomy state. 3. Patients with dysfunction of systemic organs. 4. Patients who do not meet the PHH diagnostic criteria upon screening. 5. Patients who do not consent to undergo lumbar puncture or refuse to participate in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evans' ratio of ventricular size to cranial size; | — |
Countries
China
Contacts
Zhongda Hospital, Affilicated of Southeast University