Shortening of ventricular shunt catheter associated with cranial growth: effect of the frontal and parieto-occipital access route on long-term shunt patency

被引：7

作者：

Nakahara, Kuniaki ^{[1
]}

Shimizu, Satoru ^{[1
]}

Utsuki, Satoshi ^{[1
]}

Suzuki, Sachio ^{[1
]}

Oka, Hidehiro ^{[1
]}

Yamada, Masaru ^{[1
]}

Kan, Shinichi ^{[1
]}

Fujii, Kiyotaka ^{[1
]}

机构：

[1] Kitasato Univ, Dept Neurosurg & Radiol, Sch Med, Sagamihara, Kanagawa 2288555, Japan

来源：

CHILDS NERVOUS SYSTEM | 2009年 / 25卷 / 01期

关键词：

Ventricular catheter; Shortening; Frontal and parieto-occipital; Ventriculo-peritoneal shunt; Shunt patency; Cranial growth; HYDROCEPHALUS; VALVE;

D O I：

10.1007/s00381-008-0709-2

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors present the difference of shortening the ventricular shunt catheter associated with growth of the cranium between the frontal and parieto-occipital access, a key for long patency of the shunt implanted in children. Our retrospective study included 28 children. In group A (n = 9), the catheter was inserted through a frontal burr hole and in group B (n = 19), through a parieto-occipital burr hole. To compare changes that occurred in the interval between the time of insertion and follow-up in the length of the ventricular catheter in the cranium and to assess displacement of the burr used for catheter entry. The results show that ventricular catheter shortening and burr-hole displacement were more pronounced in group A. This study documents that insertion of the ventricular catheter via the frontal route in children resulted in a higher incidence of shortening due to greater displacement of the burr hole adjacent to the coronal suture. Therefore, we recommend that the parieto-occipital route be used to maintain long-term shunt function.

引用

页码：91 / 94

页数：4