Surgical Decompression of XXXX Leads to Improved Quality of Life: A Prospective Study.

@entity1 @entity145 @entity2443 @entity1296 @entity10
BACKGROUND: There is no previous prospective study on the outcome of surgical decompression of @entity145 (AC). OBJECTIVE: To investigate if surgical fenestration for AC leads to change in @entity1 ' health-related quality of life. METHODS: Prospective study including 76 adult @entity1 operated for AC. @entity1 responded to Short Form-36 and Glasgow Benefit Inventory quality of life questionnaires, and to visual analogue scales, assessing @entity10 and @entity1296 pre- and postoperatively. @entity1 scores were compared with those of a large sample of healthy individuals. RESULTS: Preoperatively, 84.2% of the @entity1 experienced @entity10 and 70.1% @entity1296 . Mean pre- versus postoperative Visual Analogue Scale scores for @entity10 and @entity1296 dropped from 45.6 to 25.7 and from 35.2 to 12.2, respectively. Preoperative Short Form-36 scores were significantly below age norms in all subscales, but improved after surgery into normal range in 7 out of 8 subscales for middle-aged and older @entity1 . Younger @entity1 ' scores remained lower than age norm in 6 out of 8 subscales. A significant postoperative improvement was seen in 3 out of 4 Glasgow Benefit Inventory subscales. Improvement in @entity10 and/or @entity1296 , but not preoperative cyst size or reduction in cyst volume, correlated with improvement in 6 out of 8 Short Form-36 subscales and 3 out of 4 Glasgow Benefit Inventory subscales. Only 1 @entity1 experienced a severe complication causing permanent invalidity. CONCLUSION: Surgery for AC can be performed with a fairly low risk of complications and yields significant improvement in quality of life correlated to postoperative improvement in @entity10 and @entity1296 . These findings may justify a more liberal approach to surgical treatment for AC. ABBREVIATIONS: AC, @entity2443 , chronic subdural hematomaCVRI, cyst volume reduction indexGBI, Glasgow Benefit InventorySDH, subdural hematomaSF-36, Short Form-36 (SF-36)QOL, quality of lifeVAS, Visual Analogue ScaleVP, ventriculoperitoneal.
