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Treatment of hydrocephalus with functionally isolated ventricles

Rapid therapeutic drainage of one lateral ventricle may lead to ipsilateral slit ventricle, and the resultant functional obstruction of cerebrospinal fluid flow through the foramen of Monro may cause dilatation of the contralateral ventricle. Drainage of the lateral ventricle with a low-pressure shu... Full description

Journal Title: Acta neurochirurgica 2006-12, Vol.148 (12), p.1293-1296
Main Author: Atalay, B
Other Authors: Yilmaz, C , Cekinmez, M , Altinors, N , Caner, H
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Austria: Springer
ID: ISSN: 0001-6268
Link: https://www.ncbi.nlm.nih.gov/pubmed/17039301
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recordid: cdi_proquest_miscellaneous_754554666
title: Treatment of hydrocephalus with functionally isolated ventricles
format: Article
creator:
  • Atalay, B
  • Yilmaz, C
  • Cekinmez, M
  • Altinors, N
  • Caner, H
subjects:
  • Candida albicans
  • Candidiasis - drug therapy
  • Candidiasis - etiology
  • Catheters, Indwelling - standards
  • Cerebral Ventricles - pathology
  • Cerebral Ventricles - physiopathology
  • Cerebrospinal Fluid Pressure - physiology
  • Cerebrospinal Fluid Shunts - adverse effects
  • Humans
  • Hydrocephalus - pathology
  • Hydrocephalus - physiopathology
  • Hydrocephalus - surgery
  • Infant
  • Lateral Ventricles - diagnostic imaging
  • Lateral Ventricles - pathology
  • Lateral Ventricles - surgery
  • Male
  • Neurosurgical Procedures - adverse effects
  • Neurosurgical Procedures - instrumentation
  • Neurosurgical Procedures - methods
  • Postoperative Complications - etiology
  • Postoperative Complications - prevention & control
  • Postoperative Complications - surgery
  • Surgical Wound Infection - drug therapy
  • Surgical Wound Infection - microbiology
  • Surgical Wound Infection - prevention & control
  • Tissue Adhesions - etiology
  • Tissue Adhesions - physiopathology
  • Tissue Adhesions - prevention & control
  • Tomography, X-Ray Computed
  • Ventriculostomy - instrumentation
  • Ventriculostomy - methods
  • Ventriculostomy - standards
ispartof: Acta neurochirurgica, 2006-12, Vol.148 (12), p.1293-1296
description: Rapid therapeutic drainage of one lateral ventricle may lead to ipsilateral slit ventricle, and the resultant functional obstruction of cerebrospinal fluid flow through the foramen of Monro may cause dilatation of the contralateral ventricle. Drainage of the lateral ventricle with a low-pressure shunt led to functionally isolated contralateral ventriculomegaly in this report. The patient's condition was complicated by a Candida albicans shunt infection. Following effective treatment of the infection by chemotherapy and removal of the shunt system, the patient was treated by bridging two lateral ventricles with ventricular catheters connected to an Ommaya reservoir. An occipital ventricular catheter was then inserted and connected to a programmable valve to drain the bridged lateral ventricles. Modern centers, caring for patients with infantile hydrocephalus, should have endoscopic facilities available but in cases with extensive ventricular adhesions and in asymmetric hydrocephalus where endoscopic septostomy between the ventricles is impossible our described technique may be used.
language: eng
source:
identifier: ISSN: 0001-6268
fulltext: no_fulltext
issn:
  • 0001-6268
  • 0942-0940
url: Link


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descriptionRapid therapeutic drainage of one lateral ventricle may lead to ipsilateral slit ventricle, and the resultant functional obstruction of cerebrospinal fluid flow through the foramen of Monro may cause dilatation of the contralateral ventricle. Drainage of the lateral ventricle with a low-pressure shunt led to functionally isolated contralateral ventriculomegaly in this report. The patient's condition was complicated by a Candida albicans shunt infection. Following effective treatment of the infection by chemotherapy and removal of the shunt system, the patient was treated by bridging two lateral ventricles with ventricular catheters connected to an Ommaya reservoir. An occipital ventricular catheter was then inserted and connected to a programmable valve to drain the bridged lateral ventricles. Modern centers, caring for patients with infantile hydrocephalus, should have endoscopic facilities available but in cases with extensive ventricular adhesions and in asymmetric hydrocephalus where endoscopic septostomy between the ventricles is impossible our described technique may be used.
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languageeng
publisherAustria: Springer
subjectCandida albicans ; Candidiasis - drug therapy ; Candidiasis - etiology ; Catheters, Indwelling - standards ; Cerebral Ventricles - pathology ; Cerebral Ventricles - physiopathology ; Cerebrospinal Fluid Pressure - physiology ; Cerebrospinal Fluid Shunts - adverse effects ; Humans ; Hydrocephalus - pathology ; Hydrocephalus - physiopathology ; Hydrocephalus - surgery ; Infant ; Lateral Ventricles - diagnostic imaging ; Lateral Ventricles - pathology ; Lateral Ventricles - surgery ; Male ; Neurosurgical Procedures - adverse effects ; Neurosurgical Procedures - instrumentation ; Neurosurgical Procedures - methods ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Postoperative Complications - surgery ; Surgical Wound Infection - drug therapy ; Surgical Wound Infection - microbiology ; Surgical Wound Infection - prevention & control ; Tissue Adhesions - etiology ; Tissue Adhesions - physiopathology ; Tissue Adhesions - prevention & control ; Tomography, X-Ray Computed ; Ventriculostomy - instrumentation ; Ventriculostomy - methods ; Ventriculostomy - standards
ispartofActa neurochirurgica, 2006-12, Vol.148 (12), p.1293-1296
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descriptionRapid therapeutic drainage of one lateral ventricle may lead to ipsilateral slit ventricle, and the resultant functional obstruction of cerebrospinal fluid flow through the foramen of Monro may cause dilatation of the contralateral ventricle. Drainage of the lateral ventricle with a low-pressure shunt led to functionally isolated contralateral ventriculomegaly in this report. The patient's condition was complicated by a Candida albicans shunt infection. Following effective treatment of the infection by chemotherapy and removal of the shunt system, the patient was treated by bridging two lateral ventricles with ventricular catheters connected to an Ommaya reservoir. An occipital ventricular catheter was then inserted and connected to a programmable valve to drain the bridged lateral ventricles. Modern centers, caring for patients with infantile hydrocephalus, should have endoscopic facilities available but in cases with extensive ventricular adhesions and in asymmetric hydrocephalus where endoscopic septostomy between the ventricles is impossible our described technique may be used.
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0Candida albicans
1Candidiasis - drug therapy
2Candidiasis - etiology
3Catheters, Indwelling - standards
4Cerebral Ventricles - pathology
5Cerebral Ventricles - physiopathology
6Cerebrospinal Fluid Pressure - physiology
7Cerebrospinal Fluid Shunts - adverse effects
8Humans
9Hydrocephalus - pathology
10Hydrocephalus - physiopathology
11Hydrocephalus - surgery
12Infant
13Lateral Ventricles - diagnostic imaging
14Lateral Ventricles - pathology
15Lateral Ventricles - surgery
16Male
17Neurosurgical Procedures - adverse effects
18Neurosurgical Procedures - instrumentation
19Neurosurgical Procedures - methods
20Postoperative Complications - etiology
21Postoperative Complications - prevention & control
22Postoperative Complications - surgery
23Surgical Wound Infection - drug therapy
24Surgical Wound Infection - microbiology
25Surgical Wound Infection - prevention & control
26Tissue Adhesions - etiology
27Tissue Adhesions - physiopathology
28Tissue Adhesions - prevention & control
29Tomography, X-Ray Computed
30Ventriculostomy - instrumentation
31Ventriculostomy - methods
32Ventriculostomy - standards
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authorAtalay, B ; Yilmaz, C ; Cekinmez, M ; Altinors, N ; Caner, H
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6Cerebrospinal Fluid Pressure - physiology
7Cerebrospinal Fluid Shunts - adverse effects
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29Tomography, X-Ray Computed
30Ventriculostomy - instrumentation
31Ventriculostomy - methods
32Ventriculostomy - standards
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abstractRapid therapeutic drainage of one lateral ventricle may lead to ipsilateral slit ventricle, and the resultant functional obstruction of cerebrospinal fluid flow through the foramen of Monro may cause dilatation of the contralateral ventricle. Drainage of the lateral ventricle with a low-pressure shunt led to functionally isolated contralateral ventriculomegaly in this report. The patient's condition was complicated by a Candida albicans shunt infection. Following effective treatment of the infection by chemotherapy and removal of the shunt system, the patient was treated by bridging two lateral ventricles with ventricular catheters connected to an Ommaya reservoir. An occipital ventricular catheter was then inserted and connected to a programmable valve to drain the bridged lateral ventricles. Modern centers, caring for patients with infantile hydrocephalus, should have endoscopic facilities available but in cases with extensive ventricular adhesions and in asymmetric hydrocephalus where endoscopic septostomy between the ventricles is impossible our described technique may be used.
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