• T Kawaguchi, S Fujita, K Hosoda, Y Shibata, H Komatsu, and N Tamaki.
• Department of Neurosurgery, Hyogo Brain and Heart Center at Himeji, Japan.
• Neurosurgery. 1998 Nov 1; 43 (5): 1033-9.

ObjectiveThis study was conducted to determine whether a ventriculoperitoneal shunt alone was effective in treating subdural effusion with hydrocephalus.MethodsUsing only a ventriculoperitoneal shunt, we successfully treated eight patients who had subdural effusion with hydrocephalus after ruptured intracranial aneurysmal clipping, despite ventricular deformity and midline shift.ResultsFor all of the patients, both the subdural effusion and ventriculomegaly subsided and clinical symptoms lessened after surgery.ConclusionVentriculoperitoneal shunting alone is an effective and satisfactory procedure; no subdural peritoneal shunt is needed for patients with subdural effusion accompanied by hydrocephalus. To-and-fro communication between the subdural effusion and ventricles is considered to be present in these patients. When selecting the treatment for subdural effusion, it is important to consider whether hydrocephalus (disturbance of cerebrospinal fluid circulation) is present.

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