Document Detail


Novel method for controlling cerebrospinal fluid flow and intracranial pressure by use of a tandem shunt valve system.
MedLine Citation:
PMID:  20453558     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Programmable shunt valve systems have improved the management of patients with hydrocephalus. However, associated problems such as over-drainage and slit-like ventricles, even in patients with anti-siphon devices installed, still remain unresolved. METHODS: We conceived a novel tandem shunt valve system to overcome the problems with existing shunt valve systems. Experiments were performed in vitro and a manometer was used to measure the results. RESULTS: Manometric measurements in vitro with the tandem shunt valve system demonstrated that it effectively controlled the final pressure under varying flow rates. This novel system was applied to 2 intractable cases (over-drainage and slit-like ventricles) with good results. INTERPRETATION: The tandem shunt valve system has therapeutic potential not only for over-drainage and slit-like ventricles, but also for uncontrollable hydrocephalus, by precisely controlling the cerebral spinal fluid flow rate.
Authors:
Yasuo Aihara; Takakazu Kawamata; Tetsuryu Mitsuyama; Tomokatsu Hori; Yoshikazu Okada
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-05
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  46     ISSN:  1423-0305     ISO Abbreviation:  Pediatr Neurosurg     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-16     Completed Date:  2010-09-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  12-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 S. Karger AG, Basel.
Affiliation:
Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan. yaihara@nij.twmu.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Brain Neoplasms / complications
Cerebrospinal Fluid Shunts / instrumentation*
Child
Electronics, Medical*
Encephalitis / complications
Equipment Design
Female
Glioma / complications
Humans
Hydrocephalus / etiology,  surgery*
Infant
Intracranial Pressure*
Male
Manometry / instrumentation*
Streptococcal Infections / complications
Streptococcus agalactiae

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


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