Hydrocephalus after Subarachnoid Hemorrhage: Pathophysiology, Diagnosis, and Treatment

Table 1

Comparison among dominant treatment methods.

	Lamina terminalis fenestration (LTF)	Ventricle-peritoneal shunting (VPS)	Lumbar-peritoneal shunting (LPS)
Advantages	(1) Less injuries;
	(2) no implanted materials and less related	(1) Higher availability;
	complications;	(2) more beneficial outcome
	(3) conform to normal CSF dynamics;
	(4) milder fluctuation of ICP
Indication	Preferred for obstructive HCP, especially for those with mesencephalic aqueduct obstructed	Communicating HCP; some obstructive patients	Only for communicating HCP ≥ 2-year-old
Common complications	CSF leakage, meningitis, bleeding, basal artery injury, hypothalamic damage, epilepsy	Device fault, infection, excessive shunt, intracranial hypotension, slit ventricles, subdural hematoma or hydrops, displacement, visceral injury, epilepsy