Clinical Correlation between the Amount of Spontaneous Subarachnoid Hemorrhage and the Patient Need for Ventriculo-Peritoneal Shunt

Objective: Clinical assessment between degree of sub-arachnoid bleeding and patients need for ventriculo-peritoneal shunts. Patients and Methods: Thirty cases were involved in this study, from May 2010 to May 2011 at Kasr El Aini Emergency Department, All cases had full examination as regard history, clinical examination, CT on admission, CT F/U every 48 hrs for 2 weeks, lm and 3m after the attack, CT angiography or 4 vessels angiography. Results: 4 cases had Gr. II bleeding, 14 cases had Gr. III and 12 cases had Gr. IV. Sixteen cases had V-P shunt and 14 cases had no V-P shunt. Conclusion: We did not experience a big difference between cases with high grade bleeding that need shunt and cases that need no shunt, only 4 cases (15.4%) is the difference between the two groups and may be there are other factors that may affect the patients with subarachnoid hemorrhage to have v-p shunts for hydrocephalus. Such as vasospasm and the patients neurological status.