Diagnostic and predictive factors of perioperative comorbidities in the treatment of hydrocephalus

Introduction: The objective of this study was to demonstrate the predictive value and the presence of diagnostic comorbidity and perioperative factors in the outcome of shunt surgery for hydrocephalus. Methods: We retrospectively analyzed a series of 32 patients who underwent surgery for NTH on Neurosurgical Service KBC Zemun in the 2006-2012 period year. Diagnostic factors were analyzed: clinical signs (gait disturbance, cognitive deficits and incontinence), Evans' index and lumbar puncture. Perioperative comorbidity factors analyzed were: arterial hypertension, diabetes mellitus, and cerebrovascular insult. Results: Of the total of 32 operated patients had gait disturbance, cognitive deficits 24 and 23 urinary incontinence. Improving gait disturbance had 20, 13 had cognitive deficits and 11 urinary incontinence. Improvement of gait disturbance was significantly different (p<0.05) than the other two improve clinical signs. Of the factors of perioperative comorbidities, hypertension was the most common 24, with diabetes mellitus showed a statistically significant predictor of unfavorable outcome (p = 0.029). Conclusions: gait disturbance proved to be the most common diagnostic NTH factor and the factor that has the best prognosis in patients operated for NTH , while DM is the most common factor of perioperative comorbidities.