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Continuing experience with subgaleal shunting
1Division of Neurosurgery, Nyack Hospital, NY, USA.
Objective:
To evaluate subgaleal shunting--the diversion of cerebrospinal fluid into the subgaleal space for temporary absorption by the membranes of the scalp.
Method:
Eighty-one (81) patients were treated over a 20-year period. There were 22 cases of hypertensive hydrocephalus, 52 cases of acute head trauma, and 7 cases of chronic subdural hematoma. The simple surgical technique is described.
Results:
Of the eight-one patients, 33 improved, 27 did not change, and 21 expired within 72 hours. Intracranial pressure was monitored directly in 22 cases and demonstrated that subgaleal shunting provided effective short-term treatment.
Conclusions:
This simple, closed method for drainage of cerebrospinal fluid avoids the complications of open ventriculostomy or open drainage of the subdural space.
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