Failure of open third ventriculostomy for shunt infections in infants

被引：3

作者：

Akdemir, H ^{[1
]}

Kurtsoy, A ^{[1
]}

Öktem, IS ^{[1
]}

Menkü, A ^{[1
]}

Koç, RK ^{[1
]}

Tucer, B ^{[1
]}

机构：

[1] Erciyes Univ, Fac Med, Dept Neurosurg, TR-38039 Kayseri, Turkey

来源：

PEDIATRIC NEUROSURGERY | 1999年 / 30卷 / 06期

关键词：

hydrocephalus; infection; shunt; third ventriculostomy;

D O I：

10.1159/000028815

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Open third ventriculostomy (OTV) was performed on 4 infants with noncommunicating hydrocephalus and intractable shunt infections. All patients were resistant or relapsed after treatment with intravenous and intraventricular antibiotics along with change of the shunt apparatus. We performed phase-contrast cine magnetic resonance imaging (MRI) for preoperative and postoperative evaluation of cerebrospinal fluid (CSF) flow at the aqueduct of Sylvius. All patients required a second OTV approximately 3 weeks after the first OTV due to closure of the patency. Our experience led us to view OTV as an unsuccessful procedure in infantile noncommmunicating hydrocephalus due to an insufficiently developed subarachnoid space. The patients' data, operative findings and probable causes of failure are presented here.

引用

页码：305 / 309

页数：5