Discover the latest consensus-based recommendations from European experts on the diagnosis and surgical management of cranioplasty and post-traumatic hydrocephalus, a crucial step forward in neurotrauma surgery.
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Consensus-based recommendations for diagnosis and surgical management of cranioplasty and post-traumatic hydrocephalus from a European panel.
Iaccarino et al., Brain Spine 2024
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https://doi.org/10.1016/j.bas.2024.102761
This project aimed to establish a European consensus on managing patients with post-traumatic hydrocephalus (PTH) undergoing cranioplasty (CPL), a topic with previously unclear guidelines. Through a Delphi method involving a European expert panel, consensus was reached on 29 statements across two main areas: “Diagnostic criteria for PTH” and “Surgical strategies for PTH and cranial reconstruction.” The consensus highlighted that the best diagnostic approach for suspected hydrocephalus in patients needing cranial reconstruction combines clinical assessment and neuroradiological imaging. It was recommended that cranial reconstruction should be prioritized, with the option of adding a ventriculoperitoneal shunt, preferably with a programmable valve, if necessary. This consensus provides a much-needed framework for clinicians, suggesting that adopting local protocols informed by expert consensus can significantly improve patient care in this complex area.
Importance: This consensus fills a critical gap in guidelines for managing PTH in patients undergoing CPL, offering a structured approach based on expert agreement.