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Updated: Aug 7, 2026
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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Ventricle to sagittal sinus shunt for hydrocephalus
Neurosurgery
|May 1, 1979
Summary
This study introduces a novel ventricular shunting technique to the superior sagittal sinus, proving effective for high-pressure hydrocephalus in adults. The procedure offers a rapid, viable option for ill patients, though further evaluation is needed for normal/low-pressure cases.
Area of Science:
- Neurosurgery
- Neurology
- Medical Devices
Background:
- Hydrocephalus management often involves cerebrospinal fluid (CSF) shunting.
- Alternative CSF diversion sites are explored to improve outcomes and reduce complications.
Purpose of the Study:
- To describe and evaluate a technique of shunting the lateral ventricle to the superior sagittal sinus.
- To assess the safety and efficacy of this method in adult patients.
Main Methods:
- A cohort of 36 adult patients underwent lateral ventricle to superior sagittal sinus shunting.
- Complication rates (infection, revision) and success rates for different hydrocephalus pressures were recorded.
Main Results:
- Overall complication rates were low: 5.6% infection and 5.6% shunt revision.
- In high-pressure hydrocephalus (18 patients), 83% achieved successful CSF control.
- Efficacy in normal/low-pressure hydrocephalus was less favorable, with only 1 of 4 patients benefiting.
Conclusions:
- Lateral ventricle to superior sagittal sinus shunting is a feasible and effective technique for high-pressure hydrocephalus, especially in debilitated patients.
- The procedure's speed and suitability for local analgesia make it advantageous.
- Further investigation is warranted for its application in normal or low-pressure hydrocephalus.
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