neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2026-28-2-104-112neurosurgery-1851Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWПрофилактика развития дизрезорбтивной шунтзависимой гидроцефалии у пациентов после разрыва артериальных аневризм сосудов головного мозгаPrevention of malresorptive shunt-dependent hydrocephalus development in patients after cerebral aneurysms rupturehttps://orcid.org/0009-0005-8617-2448СимонянО. Г.SimonyanO. G.

Овик Горович Симонян 

129090 Москва, Большая Сухаревская пл., 3 

Ovik Gorovich Simonyan 

3 Bolshaya Sukharevskaya Ploshchad, Moscow 129090

ovik.sim@bk.ruhttps://orcid.org/0000-0003-2444-8136ПриродовА. В.PrirodovA. V.

129090 Москва, Большая Сухаревская пл., 3 

117513 Москва, ул. Островитянова, 1 

3 Bolshaya Sukharevskaya Ploshchad, Moscow 129090

1 Ostrovityanova St., Moscow 117513 

https://orcid.org/0000-0003-1525-1585БахаревЕ. Ю.BakharevE. Yu.

129090 Москва, Большая Сухаревская пл., 3 

3 Bolshaya Sukharevskaya Ploshchad, Moscow 129090

https://orcid.org/0000-0003-3515-8329ГриньА. А.GrinA. A.

129090 Москва, Большая Сухаревская пл., 3 

117513 Москва, ул. Островитянова, 1 

3 Bolshaya Sukharevskaya Ploshchad, Moscow 129090

1 Ostrovityanova St., Moscow 117513 

ГБУЗ г. Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияSklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare DepartmentRussian FederationГБУЗ г. Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияSklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaRussian Federation202619062026282104112Copyright © Симонян О.Г., Природов А.В., Бахарев Е.Ю., Гринь А.А., 20262026Симонян О.Г., Природов А.В., Бахарев Е.Ю., Гринь А.А.Simonyan O.G., Prirodov A.V., Bakharev E.Y., Grin A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1851

Дизрезорбтивная гидроцефалия является одним из грозных осложнений, возникающих в отдаленном периоде нетравматического субарахноидального кровоизлияния вследствие разрыва артериальной аневризмы головного мозга. Развитие данного осложнения существенно влияет на функциональные исходы у больных данной категории. В обзоре освещены эпидемиология, факторы риска, а также актуальные методы профилактики данного осложнения, в частности особое внимание уделено методу интратекального фибринолиза, способного в сочетании с дренированием цереброспинальной жидкости влиять на частоту развития дизрезорбтивной гидроцефалии и вторичной ишемии головного мозга. 

Dysresorptive hydrocephalus is one of the formidable complications that occur in the long-term period of non-traumatic subarachnoid hemorrhage due to rupture of an arterial aneurysms of the brain. The development of this complication significantly affects the functional outcomes in this category of patients. The review highlights the epidemiology, risk factors and current methods of preventing this complication, in particular, special attention is paid to the method of inthrathecal fibrinolysis, which, in combination with cerebrospinal fluid drainage can affect the incidence of dysresorptive hydrocephalus and secondary cerebral ischemia. 

дизрезорбтивная гидроцефалиядренирование цереброспинальной жидкостиинтратекальный фибринолизdysresorptive shunt-dependent hydrocephalusdrainage of cerebrospinal fluidintrathecal fibrinolysisReferencesLawton M.T., Vates G.E. Subarachnoid hemorrhage. N Engl J Med 2017;377(3):257–66. DOI: 10.1056/NEJMcp1605827Lawton M.T., Vates G.E. Subarachnoid hemorrhage. N Engl J Med 2017;377(3):257–66. DOI: 10.1056/NEJMcp1605827Macdonald R.L., Schweizer T.A. Spontaneous subarachnoid haemorrhage. Lancet 2017;389(10069):655–66. DOI: 10.1016/S0140-6736(16)30668-7Macdonald R.L., Schweizer T.A. Spontaneous subarachnoid haemorrhage. Lancet 2017;389(10069):655–66. DOI: 10.1016/S0140-6736(16)30668-7Nieuwkamp D.J., Setz L.E., Algra A. et al. Changes in case fatality of aneurysmal subarachnoid haemorrhage over time, according to age, sex, and region: a meta-analysis. Lancet Neurol 2009;8(7):635–42. DOI: 10.1016/S1474-4422(09)70126-7Nieuwkamp D.J., Setz L.E., Algra A. et al. Changes in case fatality of aneurysmal subarachnoid haemorrhage over time, according to age, sex, and region: a meta-analysis. Lancet Neurol 2009;8(7):635–42. DOI: 10.1016/S1474-4422(09)70126-7Huang J., Van Gelder J.M. The probability of sudden death from rupture of intracranial aneurysms: a meta-analysis. Neurosurgery 2002;51(5):1101–05. DOI: 10.1097/00006123-200211000-00001Huang J., Van Gelder J.M. The probability of sudden death from rupture of intracranial aneurysms: a meta-analysis. Neurosurgery 2002;51(5):1101–05. DOI: 10.1097/00006123-200211000-00001Lindbohm J.V., Kaprio J., Jousilahti P. et al. Risk factors of sudden death from subarachnoid hemorrhage. Stroke 2017;48(9):2399–404. DOI: 10.1161/STROKEAHA.117.018118Lindbohm J.V., Kaprio J., Jousilahti P. et al. Risk factors of sudden death from subarachnoid hemorrhage. Stroke 2017;48(9):2399–404. DOI: 10.1161/STROKEAHA.117.018118Хирургия аневризм головного мозга при массивном субарахноидальном кровоизлиянии. Под ред. В.В. Крылова, В.Г. Дашьяна. М.: АБВ-пресс, 2021. 308 с.Surgery of cerebral aneurysms in massive subarachnoid hemorrhage. Eds.: V.V. Krylov, V.G. Dashyan. Moscow: ABV-press, 2021. 308 p. (In  Russ.).Крылов В.В., Дашьян В.Г., Винокуров А.Г. и др. Микрохирургия аневризм сосудов головного мозга. М.: АБВ-пресс, 2022. 856 с.Krylov V.V., Dashyan V.G., Vinokurov A.G. et al. Microsurgery of cerebral aneurysms. Moscow: ABV-press, 2022. 856 p. (In  Russ.).Nguyen T.A., Vu L.D., Mai T.D. et al. Predictive validity of the prognosis on admission aneurysmal subarachnoid haemorrhage scale for the outcome of patients with aneurysmal subarachnoid haemorrhage. Sci Rep 2023;13(1):6721. DOI: 10.1038/s41598-023-33798-5Nguyen T.A., Vu L.D., Mai T.D. et al. Predictive validity of the prognosis on admission aneurysmal subarachnoid haemorrhage scale for the outcome of patients with aneurysmal subarachnoid haemorrhage. Sci Rep 2023;13(1):6721. DOI: 10.1038/s41598-023-33798-5Lenski M., Biczok A., Huge V. et al. Role of cerebrospinal fluid markers for predicting shunt-dependent hydrocephalus in patients with subarachnoid hemorrhage and external ventricular drain placement. World Neurosurg 2019;121:e535–42. DOI: 10.1016/j.wneu.2018.09.159Lenski M., Biczok A., Huge V. et al. Role of cerebrospinal fluid markers for predicting shunt-dependent hydrocephalus in patients with subarachnoid hemorrhage and external ventricular drain placement. World Neurosurg 2019;121:e535–42. DOI: 10.1016/j.wneu.2018.09.159Hao X., Wei D. The risk factors of shunt-dependent hydrocephalus after subarachnoid space hemorrhage of intracranial aneurysms. Medicine (Baltimore) 2019;98(27):e15970. DOI: 10.1097/MD.0000000000015970Hao X., Wei D. The risk factors of shunt-dependent hydrocephalus after subarachnoid space hemorrhage of intracranial aneurysms. Medicine (Baltimore) 2019;98(27):e15970. DOI: 10.1097/MD.0000000000015970Kim J.H., Kim J.H., Kang H.I. et al. Risk factors and preoperative risk scoring system for shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage. J Korean Neurosurg Soc 2019;62(6):643–48. DOI: 10.3340/jkns.2018.0152Kim J.H., Kim J.H., Kang H.I. et al. Risk factors and preoperative risk scoring system for shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage. J Korean Neurosurg Soc 2019;62(6):643–48. DOI: 10.3340/jkns.2018.0152Esteban Estallo L., Casado Pellejero J., Vázquez Sufuentes S. et al. Risk factors for shunt-dependent hydrocephalus after spontaneous subarachnoid hemorrhage. Neurocirugia (Engl Ed) 2024;35(4):196–204. DOI: 10.1016/j.neucie.2024.03.002Esteban Estallo L., Casado Pellejero J., Vázquez Sufuentes S. et al. Risk factors for shunt-dependent hydrocephalus after spontaneous subarachnoid hemorrhage. Neurocirugia (Engl Ed) 2024;35(4):196–204. DOI: 10.1016/j.neucie.2024.03.002Qian C., Yu X., Chen J. et al. Effect of the drainage of cerebrospinal fluid in patients with aneurismal subarachnoid hemorrhage: a metaanalysis. Medicine (Baltimore) 2016;95(41):e5140. DOI: 10.1097/MD.0000000000005140Qian C., Yu X., Chen J. et al. Effect of the drainage of cerebrospinal fluid in patients with aneurismal subarachnoid hemorrhage: a metaanalysis. Medicine (Baltimore) 2016;95(41):e5140. DOI: 10.1097/MD.0000000000005140Lee K.S., Chari A., Motiwala M. et al. Effectiveness of cerebrospinal fluid lumbar drainage among patients with aneurysmal subarachnoid hemorrhage: an updated systematic review and meta-analysis. World Neurosurg 2024;183:246–53.e12. DOI: 10.1016/j.wneu.2024.01.062Lee K.S., Chari A., Motiwala M. et al. Effectiveness of cerebrospinal fluid lumbar drainage among patients with aneurysmal subarachnoid hemorrhage: an updated systematic review and meta-analysis. World Neurosurg 2024;183:246–53.e12. DOI: 10.1016/j.wneu.2024.01.062Fang Y., Shao Y., Lu J. et al. The effectiveness of lumbar cerebrospinal fluid drainage in aneurysmal subarachnoid hemorrhage with different bleeding amounts. Neurosurg Rev 2020;43(2):739–77. DOI: 10.1007/s10143-019-01116-1Fang Y., Shao Y., Lu J. et al. The effectiveness of lumbar cerebrospinal fluid drainage in aneurysmal subarachnoid hemorrhage with different bleeding amounts. Neurosurg Rev 2020;43(2):739–77. DOI: 10.1007/s10143-019-01116-1Крылов В.В., Буров С.А. Хроническая гидроцефалия в отдаленном периоде разрыва аневризм головного мозга. Нейрохирургия 2001;(2):72–6.Krylov V.V., Burov S.A. Chronic hydrocephalus in the late period of cerebral aneurysm rupture. Neyrokhirurgiya = Russian Journal of  Neurosurgery 2001;(2):72–6. (In Russ.).Крылов В.В., Буров С.А. Отдаленные результаты хирургического лечения аневризм головного мозга в остром периоде кровоизлияния. Нейрохирургия 2000;(4):61–6.Krylov V.V., Burov S.A. Remote results of surgical treatment of cerebral aneurysms in the acute period of hemorrhage. ­Neyrokhirurgiya = Russian Journal of  Neurosurgery 2000;(4):61–6. (In  Russ.).Rincon F., Gordon E., Starke R.M. et al. Predictors of long-term shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. Clinical article. J Neurosurg 2010;113(4):774–80. DOI: 10.3171/2010.2.JNS09376Rincon F., Gordon E., Starke R.M. et al. Predictors of long-term shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. Clinical article. J Neurosurg 2010;113(4):774–80. DOI: 10.3171/2010.2.JNS09376Kuo L.T., Huang A.P. The pathogenesis of hydrocephalus following aneurysmal subarachnoid hemorrhage. Int J Mol Sci 2021;22(9):5050. DOI: 10.3390/ijms22095050Kuo L.T., Huang A.P. The pathogenesis of hydrocephalus following aneurysmal subarachnoid hemorrhage. Int J Mol Sci 2021;22(9):5050. DOI: 10.3390/ijms22095050Liu F., Yuan W., Liao D. et al. Association of chronic hydrocephalus after aneurysmal subarachnoid hemorrhage with transforming growth factor-β1 levels and other risk factors. Nan Fang Yi Ke Da Xue Xue Bao 2013;33(3):382–5. PMID: 23529236.Liu F., Yuan W., Liao D. et al. Association of chronic hydrocephalus after aneurysmal subarachnoid hemorrhage with transforming growth factor-β1 levels and other risk factors. Nan Fang Yi Ke Da Xue Xue Bao 2013;33(3):382–5. PMID: 23529236.Yan H., Chen Y., Li L. et al. Decorin alleviated chronic hydrocephalus via inhibiting TGF-β1/Smad/CTGF pathway after subarachnoid hemorrhage in rats. Brain Res 2016;1630:241–53. DOI: 10.1016/j.brainres.2015.11.004Yan H., Chen Y., Li L. et al. Decorin alleviated chronic hydrocephalus via inhibiting TGF-β1/Smad/CTGF pathway after subarachnoid hemorrhage in rats. Brain  Res 2016;1630:241–53. DOI: 10.1016/j.brainres.2015.11.004Torvik A., Bhatia R., Murthy V.S. Transitory block of the arachnoid granulations following subarachnoid haemorrhage: a postmortem study. Acta Neurochir (Wien) 1978;41(1–3):137–46. DOI: 10.1007/BF01809144Torvik A., Bhatia R., Murthy V.S. Transitory block of the arachnoid granulations following subarachnoid haemorrhage: a postmortem study. Acta Neurochir (Wien) 1978;41(1–3):137–46. DOI: 10.1007/BF01809144Bothwell S.W., Janigro D., Patabendige A. Cerebrospinal fluid dynamics and intracranial pressure elevation in neurological diseases. Fluids Barriers CNS 2019;16(1):9. DOI: 10.1186/s12987-019-0129-6Bothwell S.W., Janigro D., Patabendige A. Cerebrospinal fluid dynamics and intracranial pressure elevation in neurological diseases. Fluids Barriers CNS 2019;16(1):9. DOI: 10.1186/s12987-019-0129-6Fujii M., Yan J., Rolland W.B. et al. Early brain injury, an evolving frontier in subarachnoid hemorrhage research. Transl Stroke Res 2013;4(4):432–46. DOI: 10.1007/s12975-013-0257-2Fujii M., Yan J., Rolland W.B. et al. Early brain injury, an evolving frontier in subarachnoid hemorrhage research. Transl Stroke Res 2013;4(4):432–46. DOI: 10.1007/s12975-013-0257-2Tso M.K., Macdonald R.L. Subarachnoid hemorrhage: a review of experimental studies on the microcirculation and the neurovascular unit. Transl Stroke Res 2014;5(2):174–89. DOI: 10.1007/s12975-014-0323-4Tso M.K., Macdonald R.L. Subarachnoid hemorrhage: a review of experimental studies on the microcirculation and the neurovascular unit. Transl Stroke Res 2014;5(2):174–89. DOI: 10.1007/s12975-014-0323-4Природов А.В., Титова Г.П., Дыдыкин С.С. и др. Профилактика церебрального сосудистого спазма при субарахноидальных кровоизлияниях в эксперименте у крыс с использованием фибринолитических препаратов. Нейрохирургия 2016;(4):63–72. DOI: 10.63769/1683-3295-2016-0-4-63-72Prirodov A.V., Titova G.P., Dydykin  S.S. et al. The prophylaxis of cerebral angiospasm developing because of subarachnoid hemorrhage in experiments at rats using fibrinolytic drugs. Neyrokhirurgiya = Russian Journal of  Neurosurgery 2016;(4):63–72. (In  Russ.). DOI: 10.63769/1683-3295-2016-0-4-63-72Diesing D., Wolf S., Sommerfeld J. et al. A novel score to predict shunt dependency after aneurysmal subarachnoid hemorrhage. J Neurosurg 2018;128(5):1273–9. DOI: 10.3171/2016.12.JNS162400Diesing D., Wolf S., Sommerfeld J. et al. A novel score to predict shunt dependency after aneurysmal subarachnoid hemorrhage. J Neurosurg 2018;128(5):1273–9. DOI: 10.3171/2016.12.JNS162400Woernle C.M., Winkler K.M., Burkhardt J.K. et al. Hydrocephalus in 389 patients with aneurysm-associated subarachnoid hemorrhage. J Clin Neurosci 2013;20(6):824–6. DOI: 10.1016/j.jocn.2012.07.015Woernle C.M., Winkler K.M., Burkhardt J.K. et al. Hydrocephalus in 389 patients with aneurysm-associated subarachnoid hemorrhage. J Clin  Neurosci 2013;20(6):824–6. DOI: 10.1016/j.jocn.2012.07.015Tso M.K., Ibrahim G.M., Macdonald R.L. Predictors of shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage. World Neurosurg 2016;86:226–32. DOI: 10.1016/j.wneu.2015.09.056Tso M.K., Ibrahim G.M., Macdonald R.L. Predictors of shunt-dependent hydrocephalus following aneurysmal subarachnoid hemorrhage. World Neurosurg 2016;86:226–32. DOI: 10.1016/j.wneu.2015.09.056Zaidi H.A., Montoure A., Elhadi A. et al. Long-term functional outcomes and predictors of shunt-dependent hydrocephalus after treatment of ruptured intracranial aneurysms in the BRAT trial: revisiting the clip vs coil debate. Neurosurgery 2015;76(5):608–13. DOI: 10.1227/NEU.0000000000000677Zaidi H.A., Montoure A., Elhadi A. et al. Long-term functional outcomes and predictors of shunt-dependent hydrocephalus after treatment of ruptured intracranial aneurysms in the BRAT trial: revisiting the clip vs coil debate. Neurosurgery 2015;76(5):608–13. DOI: 10.1227/NEU.0000000000000677Yu H., Zhan R., Wen L. et al. The relationship between risk factors and prognostic factors in patients with shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. J Craniofac Surg 2014;25(3):902–6. DOI: 10.1097/SCS.0000000000000561Yu H., Zhan R., Wen L. et al. The relationship between risk factors and prognostic factors in patients with shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. J Craniofac Surg 2014;25(3):902–6. DOI: 10.1097/SCS.0000000000000561Erixon H.O., Sorteberg A., Sorteberg W., Eide P.K. Predictors of shunt dependency after aneurysmal subarachnoid hemorrhage: results of a single-center clinical trial. Acta Neurochir (Wien) 2014;156(11):2059–69. DOI: 10.1007/s00701-014-2200-zErixon H.O., Sorteberg A., Sorteberg W., Eide P.K. Predictors of shunt dependency after aneurysmal subarachnoid hemorrhage: results of a single-center clinical trial. Acta Neurochir (Wien) 2014;156(11):2059–69. DOI: 10.1007/s00701-014-2200-zBae I.S., Yi H.J., Choi K.S., Chun H.J. Comparison of incidence and risk factors for shunt-dependent hydrocephalus in aneurysmal subarachnoid hemorrhage patients. J Cerebrovasc Endovasc ­Neurosurg 2014;16(2):78–84. DOI: 10.7461/jcen.2014.16.2.78Bae I.S., Yi H.J., Choi K.S., Chun H.J. Comparison of incidence and risk factors for shunt-dependent hydrocephalus in aneurysmal subarachnoid hemorrhage patients. J Cerebrovasc Endovasc ­Neurosurg 2014;16(2):78–84. DOI: 10.7461/jcen.2014.16.2.78Xie Z., Hu X., Zan X. et al. Predictors of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage? A systematic review and meta-analysis. World Neurosurg 2017;106:844–60.e6. DOI: 10.1016/j.wneu.2017.06.119Xie Z., Hu X., Zan X. et al. Predictors of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage? A systematic review and meta-analysis. World Neurosurg 2017;106:844–60.e6. DOI: 10.1016/j.wneu.2017.06.119Wilson C.D., Safavi-Abbasi S., Sun H. et al. Meta-analysis and systematic review of risk factors for shunt dependency after aneurysmal subarachnoid hemorrhage. J Neurosurg 2017;126(2):586–95. DOI: 10.3171/2015.11.JNS152094Wilson C.D., Safavi-Abbasi S., Sun H. et al. Meta-analysis and systematic review of risk factors for shunt dependency after aneurysmal subarachnoid hemorrhage. J Neurosurg 2017;126(2):586–95. DOI: 10.3171/2015.11.JNS152094Fisher C.M., Kistler J.P., Davis J.M. Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 1980;6(1):1–9. DOI: 10.1227/00006123-198001000-00001Fisher C.M., Kistler J.P., Davis J.M. Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 1980;6(1):1–9. DOI: 10.1227/00006123-198001000-00001Dehdashti A.R., Rilliet B., Rufenacht D.A. et al. Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality. J Neurosurg 2004;101(3):402–7. DOI: 10.3171/jns.2004.101.3.0402Dehdashti A.R., Rilliet B., Rufenacht D.A. et al. Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality. J Neurosurg 2004;101(3):402–7. DOI: 10.3171/jns.2004.101.3.0402Dorai Z., Hynan L.S., Kopitnik T.A., Samson D. Factors related to hydrocephalus after aneurysmal subarachnoid hemorrhage. ­Neurosurgery 2003;52(4):763–9. DOI: 10.1227/01.neu.0000053222.74852.2dDorai Z., Hynan L.S., Kopitnik T.A., Samson D. Factors related to hydrocephalus after aneurysmal subarachnoid hemorrhage. ­Neurosurgery 2003;52(4):763–9. DOI: 10.1227/01.neu.0000053222.74852.2dGruber A., Reinprecht A., Bavinzski G. et al. Chronic shunt-dependent hydrocephalus after early surgical and early endovascular treatment of ruptured intracranial aneurysms. ­Neurosurgery 1999;44(3):503–9. DOI: 10.1097/00006123-199903000-00039Gruber A., Reinprecht A., Bavinzski G. et al. Chronic shunt-dependent hydrocephalus after early surgical and early endovascular treatment of ruptured intracranial aneurysms. ­Neurosurgery 1999;44(3):503–9. DOI: 10.1097/00006123-199903000-00039Chen L., Meng Y., Xue Q. et al. Risk factors of shunt-dependent hydrocephalus after subarachnoid hemorrhage: a systematic review and meta-analysis based on observational cohort studies. Neurosurg Rev 2024;47(1):421. DOI: 10.1007/s10143-024-02589-5Chen L., Meng Y., Xue Q. et al. Risk factors of shunt-dependent hydrocephalus after subarachnoid hemorrhage: a systematic review and meta-analysis based on observational cohort studies. Neurosurg Rev 2024;47(1):421. DOI: 10.1007/s10143-024-02589-5Hunt W.E., Hess R.M. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 1968;28(1):14–20. DOI: 10.3171/jns.1968.28.1.0014Hunt W.E., Hess R.M. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 1968;28(1):14–20. DOI: 10.3171/jns.1968.28.1.0014De Oliveira J.G., Beck J., Setzer M. et al. Risk of shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: a single-institution series and meta-analysis. Neurosurgery 2007;61(5):924–33. DOI: 10.1227/01.neu.0000303188.72425.24De Oliveira J.G., Beck J., Setzer M. et al. Risk of shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: a single-institution series and meta-analysis. Neurosurgery 2007;61(5):924–33. DOI: 10.1227/01.neu.0000303188.72425.24Природов А.В., Титова Г.П., Дыдыкин С.С. и др. Моделирование церебрального сосудистого спазма при нетравматическом субарахноидальном кровоизлиянии у крыс. Нейрохирургия 2015;(1):46–54. DOI: 10.63769/1683-3295-2015-0-1-46-54Prirodov A.V., Titova G.P., Dydykin  S.S. et al. The modelling of cerebral angiospasm because of non-traumatic subarachnoid hemorrhage using rat model. Neyrokhirurgiya = Russian Journal of  Neurosurgery 2015;(1):46–54. (In  Russ.). DOI: 10.63769/1683-3295-2015-0-1-46-54Dengler N.F., Diesing D., Sarrafzadeh A. et al. The Barrow ­Neurological Institute Scale revisited: predictive capabilities for cerebral infarction and clinical outcome in patients with aneurysmal subarachnoid hemorrhage. Neurosurgery 2017;81(2):341–9. DOI: 10.1093/neuros/nyw141Dengler N.F., Diesing D., Sarrafzadeh A. et al. The Barrow ­Neurological Institute Scale revisited: predictive capabilities for cerebral infarction and clinical outcome in patients with aneurysmal subarachnoid hemorrhage. Neurosurgery 2017;81(2):341–9. DOI: 10.1093/neuros/nyw141Wilson D.A., Nakaji P., Abla A.A. et al. A simple and quantitative method to predict symptomatic vasospasm after subarachnoid hemorrhage based on computed tomography: beyond the Fisher scale. Neurosurgery 2012;71(4):869–975. DOI: 10.1227/NEU.0b013e318267360fWilson D.A., Nakaji P., Abla A.A. et al. A simple and quantitative method to predict symptomatic vasospasm after subarachnoid hemorrhage based on computed tomography: beyond the Fisher scale. Neurosurgery 2012;71(4):869–975. DOI: 10.1227/NEU.0b013e318267360fDi Russo P., Di Carlo D.T., Lutenberg A. et al. Shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. J Neurosurg Sci 2020;64(2):181–9. DOI: 10.23736/S0390-5616.19.04641-1Di Russo P., Di Carlo D.T., Lutenberg A. et al. Shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. J Neurosurg Sci 2020;64(2):181–9. DOI: 10.23736/S0390-5616.19.04641-1Jabbarli R., Bohrer A.M., Pierscianek D. et al. The CHESS score: a simple tool for early prediction of shunt dependency after aneurysmal subarachnoid hemorrhage. Eur J Neurol 2016;23(5):912–8. DOI: 10.1111/ene.12962Jabbarli R., Bohrer A.M., Pierscianek D. et al. The CHESS score: a simple tool for early prediction of shunt dependency after aneurysmal subarachnoid hemorrhage. Eur J Neurol 2016;23(5):912–8. DOI: 10.1111/ene.12962Park Y.K., Yi H.J., Choi K.S. et al. Predicting factors for shunt-dependent hydrocephalus in patients with aneurysmal subarachnoid hemorrhage. Acta Neurochir (Wien) 2018;160(7):1407–13. DOI: 10.1007/s00701-018-3560-6Park Y.K., Yi H.J., Choi K.S. et al. Predicting factors for shunt-dependent hydrocephalus in patients with aneurysmal subarachnoid hemorrhage. Acta Neurochir (Wien) 2018;160(7):1407–13. DOI: 10.1007/s00701-018-3560-6Lackner P., Vahmjanin A., Hu Q. et al. Chronic hydrocephalus after experimental subarachnoid hemorrhage. PLoS One 2013;8(7):e69571. DOI: 10.1371/journal.pone.0069571Lackner P., Vahmjanin  A., Hu Q. et al. Chronic hydrocephalus after experimental subarachnoid hemorrhage. PLoS One 2013;8(7):e69571. DOI: 10.1371/journal.pone.0069571Germanwala A.V., Huang J., Tamargo R.J. Hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurg Clin N Am 2010;21(2):263–70. DOI: 10.1016/j.nec.2009.10.013Germanwala A.V., Huang J., Tamargo R.J. Hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurg Clin  N Am 2010;21(2):263–70. DOI: 10.1016/j.nec.2009.10.013Jiang W., You L., Hu D. Effect of combined fenestration of lamina terminalis and Liliequist membrane during surgical clipping on the incidence of chronic hydrocephalus in patients with anterior circulation ruptured aneurysms. Clin Neurol Neurosurg 2023;224:107575. DOI: 10.1016/j.clineuro.2022.107575Jiang W., You L., Hu D. Effect of combined fenestration of lamina terminalis and  Liliequist membrane during surgical clipping on the incidence of chronic hydrocephalus in patients with anterior circulation ruptured aneurysms. Clin  Neurol Neurosurg 2023;224:107575. DOI: 10.1016/j.clineuro.2022.107575Tomasello F., d’Avella D., de Divitiis O. Does lamina terminalis fenestration reduce the incidence of chronic hydrocephalus after subarachnoid hemorrhage? Neurosurgery 1999;45(4):827–31. DOI: 10.1097/00006123-199910000-00018Tomasello F., d’Avella D., de Divitiis O. Does lamina terminalis fenestration reduce the incidence of chronic hydrocephalus after subarachnoid hemorrhage? Neurosurgery 1999;45(4):827–31. DOI: 10.1097/00006123-199910000-00018Sindou M. Favourable influence of opening the lamina terminalis and Lilliequist’s membrane on the outcome of ruptured intracranial aneurysms. A study of 197 consecutive cases. Acta Neurochir (Wien) 1994;127(1–2):15–6. DOI: 10.1007/BF01808539Sindou M. Favourable influence of opening the lamina terminalis and  Lilliequist’s membrane on the outcome of ruptured intracranial aneurysms. A study of 197 consecutive cases. Acta Neurochir (Wien) 1994;127(1–2):15–6. DOI: 10.1007/BF01808539Akyuz M., Tuncer R. The effects of fenestration of the interpeduncular cistern membrane arousted to the opening of lamina terminalis in patients with ruptured ACoA aneurysms: a prospective, comparative study. Acta Neurochir (Wien) 2006;148(7):725–3. DOI: 10.1007/s00701-006-0738-0Akyuz M., Tuncer R. The effects of fenestration of the interpeduncular cistern membrane arousted to the opening of lamina terminalis in patients with ruptured ACoA aneurysms: a prospective, comparative study. Acta Neurochir (Wien) 2006;148(7):725–3. DOI: 10.1007/s00701-006-0738-0Kasuya H., Shimizu T., Kagawa M. The effect of continuous drainage of cerebrospinal fluid in patients with subarachnoid hemorrhage: a retrospective analysis of 108 patients. Neurosurgery 1991;28(1):56–9. DOI: 10.1097/00006123-199101000-00009Kasuya H., Shimizu T., Kagawa M. The effect of continuous drainage of cerebrospinal fluid in patients with subarachnoid hemorrhage: a retrospective analysis of 108 patients. Neurosurgery 1991;28(1):56–9. DOI: 10.1097/00006123-199101000-00009Klimo P. Jr, Kestle J.R., MacDonald J.D., Schmidt R.H. Marked reduction of cerebral vasospasm with lumbar drainage of cerebrospinal fluid after subarachnoid hemorrhage. J Neurosurg 2004;100(2):215–24. DOI: 10.3171/jns.2004.100.2.0215Klimo P. Jr, Kestle J.R., MacDonald J.D., Schmidt R.H. Marked reduction of cerebral vasospasm with lumbar drainage of cerebrospinal fluid after subarachnoid hemorrhage. J Neurosurg 2004;100(2):215–24. DOI: 10.3171/jns.2004.100.2.0215Park S., Yang N., Seo E. The effectiveness of lumbar cerebrospinal fluid drainage to reduce the cerebral vasospasm after surgical clipping for aneurysmal subarachnoid hemorrhage. J Korean Neurosurg Soc 2015;57(3):167–73. DOI: 10.3340/jkns.2015.57.3.167Park S., Yang N., Seo E. The effectiveness of lumbar cerebrospinal fluid drainage to reduce the cerebral vasospasm after surgical clipping for aneurysmal subarachnoid hemorrhage. J Korean Neurosurg Soc 2015;57(3):167–73. DOI: 10.3340/jkns.2015.57.3.167Крылов В.В., Природов А.В., Титова Г.П. и др. Методы профилактики сосудистого спазма и отсроченной ишемии головного мозга у пациентов с массивным субарахноидальным кровоизлиянием вследствие разрыва аневризм сосудов головного мозга. Нейрохирургия 2019;21(1):12–26. DOI: 10.17650/1683-3295-2019-21-1-12-26Krylov V.V., Prirodov A.V., Titova G.P. et al. Prevention of cerebral vasospasm and delayed cerebral ischemia in patients with massive aneurysmal subarachnoid hemorrhage. Neyrokhirurgiya = Russian Journal of  Neurosurgery 2019;21(1):12–26. (In  Russ.). DOI: 10.17650/1683-3295-2019-21-1-12-26Hulou M.M., Essibayi M.A., Benet A., Lawton M.T. Lumbar drainage after aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. World Neurosurg 2022;166:261–7.e9. DOI: 10.1016/j.wneu.2022.07.061Hulou M.M., Essibayi M.A., Benet A., Lawton M.T. Lumbar drainage after aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. World Neurosurg 2022;166:261–7.e9. DOI: 10.1016/j.wneu.2022.07.061Garvayo M., Messerer M., Starnoni D. et al. The positive impact of cisternostomy with cisternal drainage on delayed hydrocephalus after aneurysmal subarachnoid hemorrhage. Acta Neurochir (Wien) 2023;165(1):187–95. DOI: 10.1007/s00701-022-05445-xGarvayo M., Messerer M., Starnoni D. et al. The positive impact of cisternostomy with cisternal drainage on delayed hydrocephalus after aneurysmal subarachnoid hemorrhage. Acta Neurochir (Wien) 2023;165(1):187–95. DOI: 10.1007/s00701-022-05445-xOgura K., Hara M., Tosaki F., Hirai N. Effect of cisternal drainage after early operation for ruptured intracranial aneurysms. Surg Neurol 1988;30(6):441–4. DOI: 10.1016/0090-3019(88)90028-6Ogura K., Hara M., Tosaki F., Hirai N. Effect of cisternal drainage after early operation for ruptured intracranial aneurysms. Surg Neurol 1988;30(6):441–4. DOI: 10.1016/0090-3019(88)90028-6Ohwaki K., Yano E., Nakagomi T., Tamura A. Relationship between shunt-dependent hydrocephalus after subarachnoid haemorrhage and duration of cerebrospinal fluid drainage. Br J Neurosurg 2004;18(2):130–4. DOI: 10.1080/02688690410001680975Ohwaki K., Yano E., Nakagomi T., Tamura A. Relationship between shunt-dependent hydrocephalus after subarachnoid haemorrhage and duration of cerebrospinal fluid drainage. Br J Neurosurg 2004;18(2):130–4. DOI: 10.1080/02688690410001680975Ito U., Tomita H., Yamazaki S. et al. Enhanced cisternal drainage and cerebral vasospasm in early aneurysm surgery. Acta Neurochir (Wien) 1986;80(1–2):18–23. DOI: 10.1007/BF01809552Ito U., Tomita H., Yamazaki S. et al. Enhanced cisternal drainage and cerebral vasospasm in early aneurysm surgery. Acta Neurochir (Wien) 1986;80(1–2):18–23. DOI: 10.1007/BF01809552Otawara Y., Ogasawara K., Kubo Y. et al. Effect of continuous cisternal cerebrospinal fluid drainage for patients with thin subarachnoid hemorrhage. Vasc Health Risk Manag 2007;3(4):401–4. PMID: 17969369.Otawara Y., Ogasawara K., Kubo Y. et al. Effect of continuous cisternal cerebrospinal fluid drainage for patients with thin subarachnoid hemorrhage. Vasc Health Risk Manag 2007;3(4):401–4. PMID: 17969369.Yamamoto I., Shimoda M., Yamada S. et al. Indications for cisternal drainage in conjunction with early surgery for ruptured aneurysms and timing of its discontinuation. Neurol Med Chir (Tokyo) 1989;29(5):407–13. DOI: 10.2176/nmc.29.407Yamamoto I., Shimoda M., Yamada S. et al. Indications for cisternal drainage in conjunction with early surgery for ruptured aneurysms and timing of its discontinuation. Neurol Med Chir (Tokyo) 1989;29(5):407–13. DOI: 10.2176/nmc.29.407Sakaki S., Ohta S., Kuwabara H., Shiraishi M. The role of ventricular and cisternal drainage in the early operation for ruptured intracranial aneurysms. Acta Neurochir 1987;88(3):87–94. DOI: 10.1007/BF01404143Sakaki S., Ohta S., Kuwabara H., Shiraishi M. The role of ventricular and cisternal drainage in the early operation for ruptured intracranial aneurysms. Acta Neurochir 1987;88(3):87–94. DOI: 10.1007/BF01404143Sun C., Du H., Yin L. et al. Choice for the removal of bloody cerebrospinal fluid in postcoiling aneurysmal subarachnoid hemorrhage: external ventricular drainage or lumbar drainage? Turk Neurosurg 2014;24(5):737–44. DOI: 10.5137/1019-5149.JTN.9837-13.2Sun C., Du H., Yin  L. et al. Choice for the removal of bloody cerebrospinal fluid in postcoiling aneurysmal subarachnoid hemorrhage: external ventricular drainage or lumbar drainage? Turk Neurosurg 2014;24(5):737–44. DOI: 10.5137/1019-5149.JTN.9837-13.2Xu X., Yang H., Wang X. et al. Effect of external ventricular drainage on shunt-dependent hydrocephalus and prognosis after microsurgical clipping in patients with poor-grade aneurysmal subarachnoid hemorrhage. World Neurosurg 2024;191:e594–606. DOI: 10.1016/j.wneu.2024.09.004Xu X., Yang H., Wang X. et al. Effect of external ventricular drainage on shunt-dependent hydrocephalus and prognosis after microsurgical clipping in patients with poor-grade aneurysmal subarachnoid hemorrhage. World Neurosurg 2024;191:e594–606. DOI: 10.1016/j.wneu.2024.09.004Lu X., Ji C., Wu J. et al. Intrathecal fibrinolysis for aneurysmal subarachnoid hemorrhage: evidence from randomized controlled trials and cohort studies. Front Neurol 2019;10:885. DOI: 10.3389/fneur.2019.00885Lu X., Ji C., Wu J. et al. Intrathecal fibrinolysis for aneurysmal subarachnoid hemorrhage: evidence from randomized controlled trials and cohort studies. Front Neurol 2019;10:885. DOI: 10.3389/fneur.2019.00885Roelz R., Scheiwe C., Grauvogel J. et al. Early cisternal fibrinolysis is more effective than rescue spasmolysis for the prevention of delayed infarction after subarachnoid haemorrhage. Stroke Vasc Neurol 2022;7(2):108–13. DOI: 10.1136/svn-2021-001146Roelz R., Scheiwe C., Grauvogel J. et al. Early cisternal fibrinolysis is more effective than rescue spasmolysis for the prevention of delayed infarction after subarachnoid haemorrhage. Stroke Vasc Neurol 2022;7(2):108–13. DOI: 10.1136/svn-2021-001146Kramer A.H., Fletcher J.J. Locally-administered intrathecal thrombolytics following aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. Neurocrit Care 2011;14(3):489–99. DOI: 10.1007/s12028-010-9429-zKramer A.H., Fletcher J.J. Locally-administered intrathecal thrombolytics following aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. Neurocrit Care 2011;14(3):489–99. DOI: 10.1007/s12028-010-9429-zYamamoto T., Esaki T., Nakao Y., Mori K. Efficacy of low-dose tissue-plasminogen activator intracisternal administration for the prevention of cerebral vasospasm after subarachnoid hemorrhage. World Neurosurg 2010;73(6):675–82. DOI: 10.1016/j.wneu.2010.04.002Yamamoto T., Esaki T., Nakao Y., Mori K. Efficacy of low-dose tissue-plasminogen activator intracisternal administration for the prevention of cerebral vasospasm after subarachnoid hemorrhage. World Neurosurg 2010;73(6):675–82. DOI: 10.1016/j.wneu.2010.04.002Findlay J.M., Kassell N.F., Weir B.K. et al. A randomized trial of intraoperative, intracisternal tissue plasminogen activator for the prevention of vasospasm. Neurosurgery 1995;37(1):168–76. PMID: 8587685.Findlay J.M., Kassell N.F., Weir B.K. et al. A randomized trial of intraoperative, intracisternal tissue plasminogen activator for the prevention of vasospasm. Neurosurgery 1995;37(1):168–76. PMID: 8587685.Kawamoto S., Tsutsumi K., Yoshikawa G. et al. Effectiveness of the head-shaking method combined with cisternal irrigation with urokinase in preventing cerebral vasospasm after subarachnoid hemorrhage. J Neurosurg 2004;100(2):236–43. DOI: 10.3171/jns.2004.100.2.0236Kawamoto S., Tsutsumi K., Yoshikawa G. et al. Effectiveness of the head-shaking method combined with cisternal irrigation with urokinase in preventing cerebral vasospasm after subarachnoid hemorrhage. J Neurosurg 2004;100(2):236–43. DOI: 10.3171/jns.2004.100.2.0236Kinouchi H., Ogasawara K., Shimizu H. et al. Prevention of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage by intraoperative cisternal fibrinolysis using tissue-type plasminogen activator combined with continuous cisternal drainage. Neurol Med Chir (Tokyo) 2004;44(11):569–75. DOI: 10.2176/nmc.44.569Kinouchi H., Ogasawara K., Shimizu H. et al. Prevention of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage by intraoperative cisternal fibrinolysis using tissue-type plasminogen activator combined with continuous cisternal drainage. Neurol Med Chir (Tokyo) 2004;44(11):569–75. DOI: 10.2176/nmc.44.569Sasaki T., Kodama N., Kawakami M. et al. Urokinase cisternal irrigation therapy for prevention of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage: a study of urokinase concentration and the fibrinolytic system. Stroke 2000;31(6):1256–62. DOI: 10.1161/01.str.31.6.1256Sasaki T., Kodama N., Kawakami M. et al. Urokinase cisternal irrigation therapy for prevention of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage: a study of urokinase concentration and the fibrinolytic system. Stroke 2000;31(6):1256–62. DOI: 10.1161/01.str.31.6.1256

The authors declare that there are no conflicts of interest present.