Related Experiment Videos
[Our experiences with internal communicating hydrocephalus]
Insights
This study evaluated 51 internal communicating hydrocephalus cases treated with ventriculo-atrial shunts. The ventriculo-atrial shunt proved effective across diverse hydrocephalus origins, including normal pressure, tumor-associated, and post-traumatic high pressure cases.
Area of Science:
- Neurosurgery
- Neurology
- Medical Devices
Context:
- Internal communicating hydrocephalus presents diverse etiologies.
- Ventriculo-atrial shunting is a surgical intervention for hydrocephalus.
- Holter valves are commonly used in shunting procedures.
Purpose:
- To analyze the outcomes of 51 internal communicating hydrocephalus cases treated with ventriculo-atrial shunts.
- To compare the efficacy of ventriculo-atrial shunts across different hydrocephalus origins.
- To evaluate the post-operative evolution in patients with normal pressure, tumor-associated, and post-traumatic high pressure hydrocephalus.
Summary:
- Fifty-one patients with internal communicating hydrocephalus underwent ventriculo-atrial shunt surgery using a medium Holter valve.
- Patients were categorized into three groups based on hydrocephalus etiology: normal pressure, high pressure (CNS tumors), and high pressure (craniocerebral injury).
- The study presents results from various diagnostic tests and analyzes the post-operative course for each patient group.
Impact:
- Demonstrates the effectiveness of ventriculo-atrial shunts in managing complex hydrocephalus cases.
- Provides insights into differential outcomes based on hydrocephalus etiology.
- Contributes to understanding shunt performance in neurosurgical interventions for hydrocephalus.
Abstract:
The authors report 51 cases of internal communicating hydrocephalus treated by ventriculo-atrial shunt with a medium Holter valve. According to the origin of the hydrocephalus the patients are divided into three groups: 1) one group with normal pressure hydrocephalus; 2) one group with high pressure hydrocephalus associated with tumors of the CNS, and 3) one group of patients presenting a high pressure hydrocephalus after a severe craniocerebral injury. Different tests have been employed; their results are presented and discussed. The post-operative evolution of these groups are analysed and some conclusions are drawn.