OBJECTIVE To determine the usefulness of a separate reservoir placed at the site of the shunt in evaluation of shunt malfunction. METHODS AND MATERIALS A ventricular catheter was placed alongside the proximal catheter of the shunt and connected to a subgaleal reservoir in 17 patients, in 9 a double-lumen catheter with integrated reservoir and in 13 patients a dual catheter with a double-port ...

A 12-year-old female who was diagnosed as having Chiari I malformation with hydrocephalus had undergone a ventriculo-peritoneal (VP) shunt in another hospital five years back. She presented to us with complaints of intermittent fever, severe holocranial headache, vomiting and progressive deterioration of sensorium of one week duration. On examination, she was drowsy, opening eyes to call, confu...

The objective of the study is to introduce the surgical procedure of the lumbosubarachnoid-lumboepidural (L-L) shunting performed as treatment for idiopathic normal-pressure hydrocephalus (iNPH) and its follow-up. The subjects were five patients with probable iNPH (aged 78-85 years; mean age 81 years; four males and one female) who were judged to be at high risk from general or lumbar anesthesi...

OBJECT The objective of this systematic review and analysis was to answer the following question: What are the optimal treatment strategies for posthemorrhagic hydrocephalus (PHH) in premature infants? METHODS Both the US National Library of Medicine and the Cochrane Database of Systematic Reviews were queried using MeSH headings and key words relevant to PHH. Two hundred thirteen abstracts w...

Abstract Current shunt treatments of hydrocephalus, a condition characterized by excessive accumulation cerebrospinal fluid (CSF) and intracranial pressure (ICP) fluctuations, suffer malfunctions caused changes in patient’s posture. Research toward quantitative model describing posture dependent dynamics CSF related pressures such as ICP blood (BP) shall provide relevant information that can le...

Background: Spontaneous CSF leak represents less frequent cause of CSF leak, but cases are more difficult to control, with the highest failure rate and recurrence despite adequate repair. The problems in these cases might be related to an underlying undiagnosed associated intracranial hypertension. Recognition and long-term treatment of elevated ICP is therefore critical to the successful manag...

PURPOSE To evaluate magnetic resonance (MR) imaging-based quantitative phase-contrast cerebrospinal fluid (CSF) velocity imaging for prediction of successful shunting in patients with normal-pressure hydrocephalus (NPH). MATERIALS AND METHODS Eighteen patients (mean age, 73 years) with NPH underwent routine MR imaging and CSF velocity MR imaging before ventriculoperitoneal (VP) shunting. The ...

We present a case of expansive CSF collection in the cerebellar convexity. The patient was a 74 years old lady who one month before had suffered a cerebellar infarct complicated with acute hydrocephalus. She had good evolution after decompressive craniectomy without shunting. Fifteen days after surgery, the patient started with new positional vertigo, nausea and vomiting and a wound CSF fistula...

The formation of a brain abscess as a result of a cerebrospinal fluid shunt complication is extremely rare in the literature with only 7 cases reported in the last 20 years. We report a patient that developed a brain abscess adjacent to a functioning ventricular catheter in the presence of shunt infection by another pathogen. Clinicians should consider this complication in any shunted patient w...