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Titolo:
Avoiding complicated shunt systems by open fenestration of symptomatic fourth ventricular cysts associated with hydrocephalus
Autore:
Villavicencio, AT; Wellons, JC; George, TM;
Indirizzi:
DukeUSAiv, Med Ctr, Pediat Neurosurg Serv, Div Neurosurg, Durham, NC 27710Duke Univ Durham NC USA 27710 osurg Serv, Div Neurosurg, Durham, NC 27710
Titolo Testata:
PEDIATRIC NEUROSURGERY
fascicolo: 6, volume: 29, anno: 1998,
pagine: 314 - 319
SICI:
1016-2291(199812)29:6<314:ACSSBO>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
DANDY-WALKER SYNDROME; SEQUESTERED 4TH VENTRICLE; MALFORMATION; OBSTRUCTION; REVISIONS; DIAGNOSIS;
Keywords:
ventriculoperitoneal shunt; hydrocephalus; trapped fourth ventricle; Dandy-Walker malformation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: George, TM Duke Univ, Med Ctr, Pediat Neurosurg Serv, Div Neurosurg, Box 3272, Durham, Duke Univ Box 3272 Durham NC USA 27710 osurg, Box 3272, Durham,
Citazione:
A.T. Villavicencio et al., "Avoiding complicated shunt systems by open fenestration of symptomatic fourth ventricular cysts associated with hydrocephalus", PED NEUROS, 29(6), 1998, pp. 314-319

Abstract

Optimal treatment of the hydrocephalic patient with symptomatic Dandy-Walker malformation or trapped fourth ventricle remains controversial. We describe 6 patients with symptomatic Dandy-Walker malformation or trapped fourthventricle and hydrocephalus that were treated with an aggressive cyst fenestration. Four of the 6 patients had previously undergone five or more failed shunt procedures, There were no complications associated with surgery, and 5 of the 6 patients (83%) have remained asymptomatic with respect to their posterior fossa cysts. One patient has required subsequent fourth ventricular shunt placement. Median follow-up was 26 months (range 12-66 months). We suggest that suboccipital craniectomy and open fenestration is a valid treatment option in hydrocephalic patients with symptomatic Dandy-Walker malformation or trapped fourth ventricle. Although the associated lateral ventriculomegaly will probably still require a ventriculoperitoneal shunt, theabsence of a cystoperitoneal shunt system seems to minimize the incidence of complications and reoperation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/04/20 alle ore 12:03:00