کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9197274 | 1188541 | 2005 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
SÃndromes de hiperdrenaje de las válvulas en hidrocefalia infantil
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کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
عصب شناسی
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
Overdrainage in ventricular shunting constitutes a difñcult to prevent and to treat complication. The authors reviewed a retrospective series of 512 children submitted to a ventricular shunting procedure aimed at analysing factors influencing this type of complication. The causes for the hydrocephalus were congenital (n=172), post-myelomeningocele (n=123), posthemor-rhagic (n=103), tumoral (n=64), postmeningitis (n=40) and posttraumatic (n=10). Eighty-eight children (17.8%) evolved with a complication related to the excessive function of the valve. The authors investi-gated the relationship between hydrocephalus' etiology and type of overdrainage syndromes. The most frequent complication was ventricular catheter block (n=50), followed by symptomatic slit ventricle syndrome (SVS) (n=19), subdural hematoma (n=10) and trapped fourth ventricle (n=9). There were no statistical differences regarding complications for each etiologic subset of hydrocephalus. SVS occurred in 19 children (3,71%), a low rate according to the current literature. Posthe-morrhagic and postinfectious hydrocephalus grouped together showed a higher rate of SVS (p=0,005), a feature that we attributed to the cerebral destruction caused by these two conditions. Treatment of SVS was complex and required diverse procedures, applied in an escalated way, which included five decompressive cra-niectomies. The authors suggest avoiding, as much as possible, the use of ventricular shunts, and recommend the alternative use of new technology valves and neuroendoscopic procedures.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: NeurocirugÃa - Volume 16, Issue 2, 2005, Pages 124-133
Journal: NeurocirugÃa - Volume 16, Issue 2, 2005, Pages 124-133
نویسندگان
J.F. MartÃnez-Lage, M.A. Pérez-Espejo, M.J. Almagro, J. Ros de San Pedro, F. López, C. Piqueras, J. Tortosa,