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CSF flow through third ventriculostomy demonstrated with colour Doppler ultrasonography
D J Wilcock1, T Jaspan, J Punt
1Sub-department of Academic Radiology, University Hospital, Nottingham, UK.
Clinical Radiology
|February 1, 1996
Summary
Neuro-endoscopic third ventriculostomy effectively treated paediatric non-communicating hydrocephalus. Colour Doppler ultrasound confirmed cerebrospinal fluid flow through the septostomy, demonstrating treatment success in these pediatric cases.
Area of Science:
- Pediatric Neurosurgery
- Neuroimaging
- Cerebrospinal Fluid Dynamics
Background:
- Non-communicating hydrocephalus presents a significant challenge in pediatric neurosurgery.
- Endoscopic third ventriculostomy (ETV) is a minimally invasive treatment option for certain types of hydrocephalus.
Observation:
- Two pediatric patients with non-communicating hydrocephalus underwent successful neuro-endoscopic third ventriculostomy.
- Post-procedure, the patency of the septostomy defect was assessed.
Findings:
- Color Doppler ultrasound confirmed cerebrospinal fluid (CSF) flow through the septostomy defect.
- Pulse wave Doppler analysis revealed the biphasic nature of the CSF flow jet, indicating successful CSF diversion.
Implications:
- This study highlights the utility of neuro-endoscopic third ventriculostomy in managing pediatric hydrocephalus.
- Color Doppler ultrasound serves as a valuable, non-invasive tool for confirming the patency and function of ETV septostomy defects.