Document Detail


Intracranial pressure monitoring after endoscopic third ventriculostomy: an effective method to manage the 'adaptation period'.
MedLine Citation:
PMID:  11714566     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endoscopic third ventriculostomy (ETV) has become the treatment of choice for non-communicating hydrocephalus. Nevertheless, which technique should be considered of choice to identify features correlating with the failure of an endoscopic procedure and which is the optimal postoperative period care standard are still a matter of debate. Traditional neuroimaging techniques have several limitations in assessing the success of the procedure mostly in the early postoperative period. Indeed, a decrease in the ventricular size is often minimal and not visible before 3-4 weeks. MRI, able to detect the presence of a flow void signal through the third ventricle floor, has been reported to have a significantly high incidence of false positives. In our experience, the continuous measuring of intracranial pressure (ICP) by means of a ventricular catheter has been of great help in verifying the correct functioning of the communication between the ventricle and the subarachnoidal spaces during the first postoperative days. Furthermore, ICP monitoring allowed us to safely deal with the intracranial hypertension that may occur shortly after ETV.
Authors:
A Bellotti; A Rapanà; C Iaccarino; M Schonauer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  103     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-11-20     Completed Date:  2002-02-26     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  223-7     Citation Subset:  IM    
Affiliation:
Neurosurgical Division Azienda Ospedaliera, Ospedale Civile di Caserta, Via Tescione, 81100, Caserta, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Catheters, Indwelling
Endoscopy*
Female
Follow-Up Studies
Humans
Hydrocephalus / complications,  physiopathology*,  surgery
Intracranial Hypertension / etiology,  prevention & control*
Intracranial Pressure*
Male
Middle Aged
Monitoring, Physiologic
Postoperative Care / methods*
Third Ventricle / surgery*
Time Factors
Ventriculostomy* / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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