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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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The Conundrum of Ventricular Dilatations Following Decompressive Craniectomy: Is Ventriculoperitoneal Shunt, the Only Panacea

Kaustuv Banerjee, Amar Chandra Dhal, Tathagata Datta and Kuntal Bittel
Page: 726-729 | Received 29 Aug 2024, Published online: 29 Sep 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.9.18.726.729

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Abstract

Ventriculomegaly and hydrocephalus (HCP) are sometimes unexpected complications after decompressive craniectomy. The distinguishing characteristics between the two are less well characterized. The majority of studies cited in the literature define HCP radiologically rather than taking into account the patient's clinical situation. As a result, several patients have been treated with permanent cerebrospinal fluid (CSF) diversion surgeries. We suggest that asymptomatic ventriculomegaly caused by DC should be aspirated with cranioplasty and monitored regularly. Assess the effectiveness of ventriculoperitoneal (VP) shunts in managing ventricular dilatation following decompressive craniectomy, focusing on outcomes such as reduction in ventricular size, symptom relief and overall patient recovery. The present study was an Retrospective Cohort Design. Department Of Neurosurgery, RG KAR Medical College and hospital. There were 21 patients who developed ventriculomegaly after DC. There were ten patients in Group One and eleven in Group Two. The average follow-up period ranged from 6 months to 2 years. Two patients in the shunt group (group 1) developed over drainage and needed revision. One patient in the aspiration group (group 2) needed permanent CSF diversion. Cranioplasty with aspiration is a potential therapy for a restricted set of individuals who have ventriculomegaly but no HCP-related signs or symptoms.

How to cite this article:

Kaustuv Banerjee, Amar Chandra Dhal, Tathagata Datta and Kuntal Bittel. The Conundrum of Ventricular Dilatations Following Decompressive Craniectomy: Is Ventriculoperitoneal Shunt, the Only Panacea.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.9.18.726.729
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.9.18.726.729