Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Eder, HG; Leber, KA; Gruber, W.
Complications after shunting isolated IV ventricles.
Childs Nerv Syst. 1997; 13(1):13-16
Doi: 10.1007%2Fs003810050031
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Eder Hans
- Co-Autor*innen der Med Uni Graz
- Leber Klaus
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- Abstract:
- An isolated IV ventricle in chronically shunted patients is being reported with increasing frequency. Complications associated with posterior fossa shunting, however, have seldom been described. Between January 1986 and December 1995, we treated 292 children younger than 16 years for hydrocephalus: 7 (2.4%) developed an isolated IV ventricle, and 5 of these were symptomatic with posterior fossa signs. These 5 patients required posterior fossa shunting, after which their neurological status improved. However, 1 week and 6 weeks after surgery, respectively, 2 patients developed new cranial nerve deficits related to a slit-like IV ventricle with secondary irritation of the brain stem by the IV ventricular catheter. Shortening the catheter and replacing the valve eliminated the cranial nerve palsies, implying that these complications were not caused by direct injury of the brain stem during placement of the shunt. Alternative surgical techniques and the use of different (flow-regulating) valves may avoid such complications.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Cerebral Ventricles - pathology
- Child - pathology
- Child, Preschool - pathology
- Cranial Fossa, Posterior - pathology
- Cranial Nerve Diseases - diagnosis
- Equipment Design - diagnosis
- Female - diagnosis
- Humans - diagnosis
- Hydrocephalus - surgery
- Infant - surgery
- Infant, Newborn - surgery
- Magnetic Resonance Imaging - surgery
- Male - surgery
- Neurologic Examination - surgery
- Postoperative Complications - diagnosis
- Reoperation - diagnosis
- Ventriculoperitoneal Shunt - instrumentation
- Find related publications in this database (Keywords)
- Isolated IV Ventricle
- Shunting
- Cranial Nerve Palsy