Lumbar Subarachnoid Infusion Test in Paediatric Neurosurgery

Caldarelli, Massimo; Rocco, Concezio Di; Gf, Rossi

doi:10.1111/j.1469-8749.1979.tb01582.x

Cited by 21 publications

(2 citation statements)

References 14 publications

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“…Lumbar or ventricular infusion tests are sometimes used in the evaluation of hydrocephalic children [31, 48]. Resistance to CSF outflow ( R out ) is calculated and believed to express the CSF absorption capacity.…”

Section: Resultsmentioning

confidence: 99%

Benign external hydrocephalus: a review, with emphasis on management

et al. 2011

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Benign external hydrocephalus in infants, characterized by macrocephaly and typical neuroimaging findings, is considered as a self-limiting condition and is therefore rarely treated. This review concerns all aspects of this condition: etiology, neuroimaging, symptoms and clinical findings, treatment, and outcome, with emphasis on management. The review is based on a systematic search in the Pubmed and Web of Science databases. The search covered various forms of hydrocephalus, extracerebral fluid, and macrocephaly. Studies reporting small children with idiopathic external hydrocephalus were included, mostly focusing on the studies reporting a long-term outcome. A total of 147 studies are included, the majority however with a limited methodological quality. Several theories regarding pathophysiology and various symptoms, signs, and clinical findings underscore the heterogeneity of the condition. Neuroimaging is important in the differentiation between external hydrocephalus and similar conditions. A transient delay of psychomotor development is commonly seen during childhood. A long-term outcome is scarcely reported, and the results are varying. Although most children with external hydrocephalus seem to do well both initially and in the long term, a substantial number of patients show temporary or permanent psychomotor delay. To verify that this truly is a benign condition, we suggest that future research on external hydrocephalus should focus on the long-term effects of surgical treatment as opposed to conservative management.

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Section: Resultsmentioning

confidence: 99%

Benign external hydrocephalus: a review, with emphasis on management

et al. 2011

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“…When this groove is absent and the bony surface overlying the superior sagittal sinus is flat, the CSF accumulations mentioned above are less common. In the past, impaired CSF resorption in children with ISS has also been demonstrated by the technique of infusion into the lumbar subarachnoid space [15,16]. These studies have also shown a decompression of the sagittal sinus after surgery.…”

Section: Radiologymentioning

confidence: 90%

Isolated Sagittal Craniosynostosis: A Comprehensive Review

Spazzapan,

Velnar

2024

Diagnostics

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Sagittal craniosynostosis, a rare but fascinating craniofacial anomaly, presents a unique challenge for both diagnosis and treatment. This condition involves premature fusion of the sagittal suture, which alters the normal growth pattern of the skull and can affect neurological development. Sagittal craniosynostosis is characterised by a pronounced head shape, often referred to as scaphocephaly. Asymmetry of the face and head, protrusion of the fontanel, and increased intracranial pressure are common clinical manifestations. Early recognition of these features is crucial for early intervention, and understanding the aetiology is, therefore, essential. Although the exact cause remains unclear, genetic factors are thought to play an important role. Mutations in genes such as FGFR2 and FGFR3, which disrupt the normal development of the skull, are suspected. Environmental factors and various insults during pregnancy can also contribute to the occurrence of the disease. An accurate diagnosis is crucial for treatment. Imaging studies such as ultrasound, computed tomography, magnetic resonance imaging, and three-dimensional reconstructions play a crucial role in visualising the prematurely fused sagittal suture. Clinicians also rely on a physical examination and medical history to confirm the diagnosis. Early detection allows for quick intervention and better treatment outcomes. The treatment of sagittal craniosynostosis requires a multidisciplinary approach that includes neurosurgery, craniofacial surgery, and paediatric care. Traditional treatment consists of an open reconstruction of the cranial vault, where the fused suture is surgically released to allow normal growth of the skull. However, advances in minimally invasive techniques, such as endoscopic strip craniectomy, are becoming increasingly popular due to their lower morbidity and shorter recovery times. This review aims to provide a comprehensive overview of sagittal craniosynostosis, highlighting the aetiology, clinical presentation, diagnostic methods, and current treatment options.

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Anatomic and Physiologic Aspects of the Cerebrospinal Fluid Space

Brumback¹

1989

The Cerebrospinal Fluid

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Lumbar Subarachnoid Infusion Test in Paediatric Neurosurgery

Cited by 21 publications

References 14 publications

Benign external hydrocephalus: a review, with emphasis on management

Benign external hydrocephalus: a review, with emphasis on management

Isolated Sagittal Craniosynostosis: A Comprehensive Review

Anatomic and Physiologic Aspects of the Cerebrospinal Fluid Space

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