机构：[1]The First Affiliated Hospital of Soochow University, Suzhou 215000, China[2]Department of Neurosurgery, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China[3]Department of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China
Shunt-dependent hydrocephalus (SDH) is a common complication after aneurysmal subarachnoid hemorrhage (aSAH) and affect its outcome significantly. Whether fenestration of the lamina terminalis (FLT) during anterior circulation aneurysm clipping for aSAH can decrease the occurrence of SDH is still controversial.
Ovid, Pubmed database were retrieved by the following keywords "hydrocephalus" "subarachnoid hemorrhage" "aneurysm" "fenestration" and "lamina terminalis". The Cochran-Mantel-Haenszel test was used to compare overall incidence of SDH.
The literatures were searched, and 15 were included involving 2,839 patients. The overall incidence of SDH in fenestrated cohort was 11.4%, compared with 15.3% in non-fenestrated cohort (p=0.008). The relative risk of SDH in fenestrated cohort was 0.67 (95% CI 0.50-0.90).
This meta-analysis suggests that FLT during anterior circulation aneurysm clipping reduces the incidence of SDH. However, a well-designed, randomized controlled trial is needed to prove the efficacy of FLT to reduce SDH.
Copyright ? 2019 Elsevier Inc. All rights reserved.
基金：
This study was supported by National Nature Science Foundation of China (No. 81401500),
Science Foundation of Jiangsu Province (No. BK20140298), and Natural science research project
of university in Jiangsu Province (No. 14KJD320003),High-level Medical Reserved Personnel
Training Project of Chongqing.
第一作者机构：[1]The First Affiliated Hospital of Soochow University, Suzhou 215000, China
通讯作者：
通讯机构：[*1]Department of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, 74 Linjiang Road, Chongqing 400000, China.
推荐引用方式(GB/T 7714)：
Jinning Mao,Qing Zhu,Ying Ma,et al.Fenestration of the lamina terminalis on the occurrence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage: a meta-analysis.[J].World neurosurgery.2019,doi:10.1016/j.wneu.2019.01.270.
APA：
Jinning Mao,Qing Zhu,Ying Ma,Qing Lan,Yuan Cheng&Guodong Liu.(2019).Fenestration of the lamina terminalis on the occurrence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage: a meta-analysis..World neurosurgery,,
MLA：
Jinning Mao,et al."Fenestration of the lamina terminalis on the occurrence of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage: a meta-analysis.".World neurosurgery .(2019)
