Die operative Behandlung des Hydrocephalus

Riechert, T; Umbach, W

doi:10.1007/978-3-642-48751-4_7

Cited by 8 publications

(4 citation statements)

References 96 publications

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“…First attempts of a ventriculoperitoneal shunt by Kausch and later by Cone, Scott and Jackson-Snodgrass were historically reported in Handbuch der Neurochirurgie, with mean mortality rate ranging from 5 to 38% (6). With the advance of neurosurgical techniques and armamentarium this scenario has completely changed with current mean perioperative and long-term mortality rate of 0,1% and 1,4%, respectively.…”

Section: Technological Developmentsmentioning

confidence: 99%

Shunt Technology in Pediatric Neurosurgery: Current options and Scientific Evidence

2020

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Introduction: Hydrocephalus is the most common neurosurgical condition among children worldwide and shunt diversion of the cerebral-spinal fluid (CSF) has been widely available. The aim of the present study was to perform a systematic review on types and models of shunt devices available and critically evaluate scientific evidence in favor of the usage of specific technologies. Methods: Searches of the PubMed database were performed for relevant articles published from until March 2020. Appropriate keywords were used to identify all studies, including: “shunt”, “technology”, “hydrocephalus”, “children”, “pediatric”. The indications and scientific evidence in favor of the usage of specific shunt technology for the treatment of hydrocephalus according to age, underlying pathology and other features of specific patients were discussed under the light of the current literature. Results: A total of 178 peer-reviewed papers were found. Out of them, only 21 matched our inclusion criteria and were finally selected. The papers were reviewed and described technology discussed below. A summary of the main types of shunts commercially available worldwide, including their respective working mechanism and construction was also included. Conclusion:Shunt technology has evolved during the last decades and continues to be intensively developed. Despite of the huge arsenal of different types of shunt systems currently available on the market, the treatment of hydrocephalus remains challenging. Investment in research, education and training, as well as prospective randomized multicentric controlled trials evaluating the role of specific valves in the treatment of individual group of hydrocephalic pediatric patients are urgently needed.

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Section: Technological Developmentsmentioning

confidence: 99%

Shunt Technology in Pediatric Neurosurgery: Current options and Scientific Evidence

2020

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“…Siebenundzwanzig verschi edene Möglichkeiten der Liquordrainage hab en Ger/ach et al (1) 1967 zusammengestellt. In Operationslehren (2,4,5) hat sich diese mögliche Vielfalt auf wenige operative Techniken reduziert . In der Routine haben sich jedoch wegen der einfachen und sicher en Durchführb ark eit nur der atriale und der peritoneale Shunt bewähr t. Wir teilen zwei Fälle mit, in denen von diesem Vorgehen abgegangen werd en mußte und eine ventrikulop yeloureterale Ableitung sich als sinnvolle Altern ative anbot.…”

Section: Introductionunclassified

Liquordrainage ins Nierenhohlsystem als seltene Variante in der Therapie des Hydrocephalus occlusus

Nau

Behrendt²,

Reinhardt³

1988

Minim Invasive Neurosurg

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“…An obstructive internal hydrocephalus following an obstruction of the flow of cerebrospinal fluid in the region of the aqueduct and the 4th ventricle will as a rule be treated palliatively if the lesion itself cannot be extirpated (22). Today two equivalent methods are available, i.e.…”

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confidence: 99%

New light on the technique and indications for ventriculo-cisternal drainage according to leksell (interventriculostomy)

Voth

Schwarz

1981

Neurosurg. Rev.

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Experience with the Leksell drainage (interventriculostomy) in 21 patients is reported. Apart from an account of the technical details and the diagnostic requirements, the indications are also discussed. Apart from the "classic" indications are in a stenosis or restoration of the aqueduct in non-tumourous processes, we see a second reasonable field of application in subtotally resected posterior fossa tumours, when there is the possibility of a recurrence. In these cases the timely use of drainage can save a further operation. In addition, it can be used to forestall an immediate postoperative occlusion of the aqueduct due to oedema in cases in which a tumour was removed from the rostral part of the fourth ventricle. Compared to the common internal shunt procedures, the Leksell drainage shows a definitely greater functional security, equivalent to the Torkildsen drainage.

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Die operative Behandlung des Hydrocephalus

Cited by 8 publications

References 96 publications

Shunt Technology in Pediatric Neurosurgery: Current options and Scientific Evidence

Shunt Technology in Pediatric Neurosurgery: Current options and Scientific Evidence

Liquordrainage ins Nierenhohlsystem als seltene Variante in der Therapie des Hydrocephalus occlusus

New light on the technique and indications for ventriculo-cisternal drainage according to leksell (interventriculostomy)

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