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Prevention of malresorptive shunt-dependent hydrocephalus development in patients after cerebral aneurysms rupture

https://doi.org/10.63769/1683-3295-2026-28-2-104-112

Abstract

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. 

About the Authors

O. G. Simonyan
Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

Ovik Gorovich Simonyan 

3 Bolshaya Sukharevskaya Ploshchad, Moscow 129090



A. V. Prirodov
Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation

3 Bolshaya Sukharevskaya Ploshchad, Moscow 129090

1 Ostrovityanova St., Moscow 117513 



E. Yu. Bakharev
Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Ploshchad, Moscow 129090



A. A. Grin
Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation

3 Bolshaya Sukharevskaya Ploshchad, Moscow 129090

1 Ostrovityanova St., Moscow 117513 



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Simonyan O.G., Prirodov A.V., Bakharev E.Yu., Grin A.A. Prevention of malresorptive shunt-dependent hydrocephalus development in patients after cerebral aneurysms rupture. Russian journal of neurosurgery. 2026;28(2):104-112. (In Russ.) https://doi.org/10.63769/1683-3295-2026-28-2-104-112

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