Document Detail

Treatment of hydrocephalus with functionally isolated ventricles.
MedLine Citation:
PMID:  17039301     Owner:  NLM     Status:  MEDLINE    
Rapid therapeutic drainage of one lateral ventricle may lead to ipsilateral slit ventricle, and the resultant functional obstruction of cerebrospinal fluid flow through the foramen of Monro may cause dilatation of the contralateral ventricle. Drainage of the lateral ventricle with a low-pressure shunt led to functionally isolated contralateral ventriculomegaly in this report. The patient's condition was complicated by a Candida albicans shunt infection. Following effective treatment of the infection by chemotherapy and removal of the shunt system, the patient was treated by bridging two lateral ventricles with ventricular catheters connected to an Ommaya reservoir. An occipital ventricular catheter was then inserted and connected to a programmable valve to drain the bridged lateral ventricles. Modern centers, caring for patients with infantile hydrocephalus, should have endoscopic facilities available but in cases with extensive ventricular adhesions and in asymmetric hydrocephalus where endoscopic septostomy between the ventricles is impossible our described technique may be used.
B Atalay; C Yilmaz; M Cekinmez; N Altinors; H Caner
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-10-17
Journal Detail:
Title:  Acta neurochirurgica     Volume:  148     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-06     Completed Date:  2007-09-11     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  1293-6; discussion 1296     Citation Subset:  IM    
Department of Neurosurgery, Baskent University, Ankara, Turkey.
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MeSH Terms
Candidiasis / drug therapy,  etiology
Catheters, Indwelling / standards
Cerebral Ventricles / pathology,  physiopathology
Cerebrospinal Fluid Pressure / physiology
Cerebrospinal Fluid Shunts / adverse effects*
Hydrocephalus / pathology,  physiopathology,  surgery*
Lateral Ventricles / pathology,  radiography,  surgery*
Neurosurgical Procedures / adverse effects*,  instrumentation,  methods
Postoperative Complications / etiology*,  prevention & control,  surgery
Surgical Wound Infection / drug therapy,  microbiology,  prevention & control
Tissue Adhesions / etiology,  physiopathology,  prevention & control
Tomography, X-Ray Computed
Ventriculostomy / instrumentation,  methods,  standards

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