Chronic Adult Hydrocephalus

Chronic adult hydrocephalus (CAH) is a rare cerebral pathology that mainly affects the elderly. The neurosurgical indication is the standard GOLD. However, few data concerning prognostic factors for successful surgical management are present in the literature. The aim of our study was to determine the prognostic elements of neurosurgical management of patients with chronic adult hydrocephalus. This was a retrospective descriptive study of 40 patients operated on for CAH in the neurosurgery department of the Tunis Military Hospital. Clinical and radiological data were collected over a 16-year period from 2004 to 2020. The primary endpoint was the occurrence of at least one episode of recurrence, in order to determine the risk factors for recurrence in patients operated for chronic adult hydrocephalus.CAH is a relatively rare pathology and can be responsible for significant morbidity affecting patients’ quality of life. Ventriculoperitoneal shunting is the GOLD standard.