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  • 1
    Electronic Resource
    Electronic Resource
    Long-term results after ventriculoatrial shunting in children (1993)
    Springer
    Child's nervous system 9 (1993), S. 253-255 
    Details
    ISSN: 1433-0350
    Keywords: Hydrocephalus ; Ventriculoatrial shunt ; Shunt infection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A consecutive series of 120 patients with infantile hydrocephalus who were subjected to ventriculoatrial shunting was studied. The average length of follow-up was 11 years. Operative mortality was zero. Seven patients died during the follow-up period; in all cases but one of these the cause of death was not a consequence of a shunt-related procedure. The incidences of infection and slit ventricle syndrome were 4.2% and 1.8% respectively. Two hundred and fifty-three shunt revisions were performed, yielding a revision rate of 2.2 per patient. Of these 253 revisions 167 (66%) were elective lengthning of the atrial catheter. The number of reoperations for adjusting the length of the atrial catheter or for revision of the distal end of the shunting system is a major disadvantage of ventriculoatrial shunting which actually speaks in favor of ventriculoperitoneal shunting as the primary procedure for the treatment of pediatric hydrocephalus.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00306265
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Xenon CT measurement of cerebral blood flow in hydrocephalus (1995)
    Springer
    Child's nervous system 11 (1995), S. 388-391 
    Details
    ISSN: 1433-0350
    Keywords: Hydrocephalus ; Cerebral blood flow ; Xenon CT
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Since the recognition of normal-pressure hydrocephalus as an entity (1965), ventriculo-atrial or peritoneal shunting has been proposed as a treatment for this disease. Unfortunately, selection of patients who would benefit from shunting has always been difficult, and no clinical or brain imaging criteria have been entirely satisfactory. Functional studies intended to measure the local cerebral blood flow (ICBF) seem more promising. Xenon CT CBF measurement has been chosen because of its ability to measure deep white matter ICBF with good spatial resolution. This preliminary study reports the results of ICBF measurement in four patients examined by this technique before and after shunting or cerebrospinal fluid subtraction by lumbar puncture. In this small collective the two patients who improved clinically after shunting or lumbar puncture also had a substantial improvement in deep white matter ICBF.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00717402
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Long-term results after ventriculo-atrial shunting in children (1995)
    Springer
    Child's nervous system 11 (1995), S. 176-179 
    Details
    ISSN: 1433-0350
    Keywords: Hydrocephalus ; Ventriculo-atrial shunt ; Shunt infection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A consecutive series of 120 patients with infantile hydrocephalus who were submitted to ventriculo-atrial shunting was studied. The average follow-up was 11 years. There was no operative mortality; 7 patients died during the follow-up period, but only in 1 case was the cause of death a consequence of the shunt procedure. The incidence rates of infection and slit ventricle syndrome were 4.2% and 1.8%, respectively. Shunt revision was performed on 253 occasions yielding a revision rate of 2.2 per patient. Of these 253 revisions 167 (66%) took the form of elective lengthening of the atrial catheter. The number of reoperations to adjust the length of the atrial catheter or to revise the distal end of the shunting system is a major disadvantage, which actually favors ventriculo-peritoneal shunting as the primary procedure for the treatment of pediatric hydrocephalus.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00570261
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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