{"title":"The Significance of Continuous CSF Measurement in Suspected Shunt Dysfunction","authors":"G. Kaiser, H. Minikus","doi":"10.1055/S-2008-1044267","DOIUrl":null,"url":null,"abstract":"Summary From 1981 to September 1983, 72 continuous CSF meas urements were performed on 65 children with suspected shunt dysfunction. The pressure was 21 times > 180 (Group I), 7 times 135-180 (Group 2) and 44 times < 135 mmHp (Group 3). Shunt revision seemed indicated in all of Group I, in 4 of Group 2 and in 3 of Group 3. The 28 children operated on following manometry amount to 46 % 01' all patients revised during the same time. Headache, vomiting, some neurological and non-specific signs were like wise observed in all 3 groups. The palpable valve function was only exceptionally abnormal in Group I, but abnormal in 113 in Group 3. The shunt function was finally evaluated in Group I to 3 as folIows: 39 % shunt revision indicated, 30.5 % functioning shunt, 19.5 % temporary or intermittent shunt dysfunction, 10% temporary oIigoliquorrhea (overdrainage). 1% arrested hydrocephalus. The accuracy of the judgment was confirmed in all but 4 by follow-ups; in proximal occlu sion, CSF leakages an multiple shunts, seemingly normal CSF , pressure values may be obtained (10% ofall measurements).","PeriodicalId":269806,"journal":{"name":"European Journal of Pediatric Surgery (EJPS)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1984-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Pediatric Surgery (EJPS)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/S-2008-1044267","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
Summary From 1981 to September 1983, 72 continuous CSF meas urements were performed on 65 children with suspected shunt dysfunction. The pressure was 21 times > 180 (Group I), 7 times 135-180 (Group 2) and 44 times < 135 mmHp (Group 3). Shunt revision seemed indicated in all of Group I, in 4 of Group 2 and in 3 of Group 3. The 28 children operated on following manometry amount to 46 % 01' all patients revised during the same time. Headache, vomiting, some neurological and non-specific signs were like wise observed in all 3 groups. The palpable valve function was only exceptionally abnormal in Group I, but abnormal in 113 in Group 3. The shunt function was finally evaluated in Group I to 3 as folIows: 39 % shunt revision indicated, 30.5 % functioning shunt, 19.5 % temporary or intermittent shunt dysfunction, 10% temporary oIigoliquorrhea (overdrainage). 1% arrested hydrocephalus. The accuracy of the judgment was confirmed in all but 4 by follow-ups; in proximal occlu sion, CSF leakages an multiple shunts, seemingly normal CSF , pressure values may be obtained (10% ofall measurements).