The Significance of Continuous CSF Measurement in Suspected Shunt Dysfunction

G. Kaiser, H. Minikus
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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).
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连续脑脊液测量在怀疑分流功能障碍中的意义
从1981年到1983年9月,对65例疑似分流功能障碍的儿童进行了72次连续脑脊液检测。压力为21倍bbb180(第一组),7倍135-180(第二组),44倍< 135mmhp(第三组)。第一组所有患者,第二组4例,第三组3例似乎都需要分流修复。28例患儿采用以下测压法进行手术,占同期全部患儿的46%。三组患者均出现头痛、呕吐、部分神经学及非特异性症状。1组可触瓣膜功能异常,3组113例异常。第1组至第3组的分流功能最终评估如下:39%的分流修复,30.5%的分流功能正常,19.5%的暂时性或间歇性分流功能障碍,10%的暂时性少尿(过排)。1%的人患有脑积水。除4例外,其余均证实了该判断的准确性;在近端闭塞,脑脊液泄漏和多次分流,看似正常的脑脊液,可以获得压力值(占所有测量值的10%)。
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