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Clinical Results and Surgical Details of Lamina Terminalis Fenestration in Patients with High Grade Subarachnoid Haemorrhage: One Year Experience of A Single Institute
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Research Article
VOLUME: 72 ISSUE: 2
P: 218-221
August 2019

Clinical Results and Surgical Details of Lamina Terminalis Fenestration in Patients with High Grade Subarachnoid Haemorrhage: One Year Experience of A Single Institute

J Ankara Univ Fac Med 2019;72(2):218-221
DOI: 10.4274/atfm.galenos.2019.64936
Onur Özgüral 1
Eyyub SM Al-Beyati 1
Bilal Shukuruyev 1
Fatih Yakar 2
İhsan Doğan 1
Ümit Eroğlu 1
Melih Bozkurt 1
1. Ankara Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye
2. Pamukkale Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Denizli, Türkiye
No information available.
No information available
Received Date: 25.06.2019
Accepted Date: 03.07.2019
Publish Date: 02.10.2019
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ABSTRACT

Objectives:

Lamina terminalis fenestration is a method used to reduce hydrocephalus risk secondary to subarachnoid haemorrhage in cerebral aneurysm surgery. The aim of our article is to report our clinical experience in these patients and examine the short-term results of this procedure.

Materials and Methods:

We evaluated 10 patients with high-grade subarachnoid hemorrhage who underwent surgical clipping for cerebral aneurysm between 2014 and 2015 in our clinic.

Results:

Hydrocephalus developed in three of the 10 patients. One of these three patients had hydrocephalus in the preoperative period. In addition, hydrocephalus regressed in he postoperative period in three patients with hydrocephalus preoperatively.

Conclusion:

Lamina terminalis fenestration is an easy and effective procedure that can be applied to provide cerebral relaxation before surgical clipping and reduce the risk of developing hydrocephalus after clipping.

Keywords: Aneurysm, Subarachnoid Hemorrhage, Lamina Terminalis

References

1
Dorai Z, Hynan LS, Kopitnik TA, et al. Factors related to hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery. 2003;52:763-771.
2
Sheehan JP, Polin RS, Sheenan JM, et al. Factors associated with hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery. 1999;45:112-118.
3
Komotar RJ, Olivi A, Rigamonti D, et al. Microsurgical fenestration of the lamina terminalis reduces the incidence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery. 2002;51:1403-1412.
4
Yasargil MG. Microsurgical anatomic features of the lamina terminalis. Neurosurgery. 2002;50:569-570.
5
Kawakami Y, Shimamura Y. Cisternal drainage after early operation of ruptured intracranial aneurysm. Neurosurgery. 1987;20:8-14.
6
Rhoton AL Jr. The lateral and third ventricles. Neurosurgery. 2002;51:1-207.
7
De Divitiis O, Angileri FF, d’Avella D, et al. Microsurgical anatomic features of lamina terminalis. Neurosurgery. 2002;50:563-570.
8
Kreiter KT, Copeland D, Bernardini GL, et al. Predictors of cognitive dysfunction after subarachnoid haemorrhage. Stroke. 2002;33:200-208.
9
Claassen J, Bernardini GL, Kreiter K, et al. Effect of cisternal and ventricular blood on risk of delayed cerebral ischemia after subarachnoid haemorrhage: the Fischer scale revisited. Stroke. 2001;32:2012-2020.
10
Connolly ES Jr, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for health- care professionals from the American Heart Association/American Stroke Association. Stroke. 2012;43:1711-1737.
11
Cesarini KG, Hardemark HG, Persson L. Improved survival after aneurysmal subarachnoid hemorrhage: review of case management during a 12-year period. J Neurosurg. 1999;90:664-672.
12
Meybodi AT, Miri SM. Microscopic supraciliary approach for terminal laminotomy for treatment of hydrocephalus: a preliminary report of eight cases. Turkish Neurosurgery. 2012;22:599-603.
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