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Related Experiment Videos

Experience with Dimer-X 1-ventriculography.

M Finck, H Vogelsang

    Neuropadiatrie
    |November 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Positive contrast ventriculography using Dimer-X is a simple, rapid diagnostic method for evaluating intracranial pressure after ventricular drainage. The procedure is effective, with minor side effects observed in a small number of patients.

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    Area of Science:

    • Neurosurgery
    • Diagnostic Imaging
    • Radiology

    Background:

    • Elevated intracranial pressure (ICP) necessitates interventions like ventricular drainage.
    • Accurate post-drainage assessment of cerebrospinal fluid (CSF) pathways is crucial.
    • Positive contrast ventriculography offers a method for visualizing ventricular structures.

    Purpose of the Study:

    • To evaluate the efficacy and safety of positive contrast ventriculography using Dimer-X.
    • To assess the diagnostic utility of this method in patients with raised ICP.
    • To determine the feasibility of the technique in pediatric and adult populations.

    Main Methods:

    • Performed positive contrast ventriculography in 72 patients (37 children/juveniles) post-ventricular drainage.
    • Utilized Dimer-X, a water-soluble contrast medium, injected into the ventricles under visual control (Mimer III).

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  • Obtained radiographs in two planes, supplemented by tomography when necessary for diagnosis.

    • Main Results:

    • The procedure was simple and rapidly performed, providing sufficient information for accurate diagnosis.
    • Minor adverse events included vomiting in two children and a generalized convulsion in one patient due to contrast agent contact with the brain surface.
    • The technique demonstrated diagnostic value in assessing ventricular anatomy and patency post-drainage.

    Conclusions:

    • Positive contrast ventriculography with Dimer-X is a safe and effective diagnostic tool for evaluating patients with raised ICP after ventricular drainage.
    • The method is well-tolerated, particularly in pediatric populations, with a low incidence of significant complications.
    • This technique provides reliable diagnostic accuracy, making it a valuable adjunct in neurosurgical and neurological practice.