Our policy in diagnosis and treatment of hydrocephalus

Zsolt Kopniczky, P. Barzó, L. Pávics, T. Dóczi, Mihály Bodosi, L. Csernay

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The authors present the policy they have worked out for hydrocephalus patients with special reference to the pressure measurement and test methods and to rCBF, SPECT and transcranial Doppler sonography (TDC) studies. For diagnosis, the protocol proposed by Gjerris and Borgesen was followed in 75 cases: besides other methods (CT, radionuclide cisternography, MRI) the intracranial pressure waves routinely recorded and analyzed by means of ventricular catheters for 24 h. The patients were roughly divided into groups in terms of diagnosis, baseline pressure, compliance, results of infusion tests and of surgery. In 13 patients the investigations were supplemented by rCBF SPECT and in 42 patients by TCD studies before and after CSF shunting or withdrawal to analyze the acute effects on cerebral circulation. Clinical follow-up shows that need for shunting was indicated fairly well by the common results of baseline ICP, compliance and infusion loading. The rCBF SPECT studies revealed a significant increase of the cerebral perfusion at the basal ganglia after shunting while, on the basis of CBF velocity changes three types of vasoregulatory response could be defined with TCD. In our hands, monitoring of the pressure and craniospinal capacity has proved to be a valuable aid in decisions on surgery; however, for a more precise (and beneficial) appreciation of whether surgery is indicated the vasoregulatory responses should also be taken into account in future.

Original languageEnglish
Pages (from-to)102-106
Number of pages5
JournalChild's Nervous System
Volume11
Issue number2
DOIs
Publication statusPublished - Feb 1995

Fingerprint

Hydrocephalus
Single-Photon Emission-Computed Tomography
Pressure
Compliance
Cerebrovascular Circulation
Doppler Transcranial Ultrasonography
Decision Support Techniques
Intracranial Pressure
Therapeutics
Basal Ganglia
Radioisotopes
Catheters
Perfusion

Keywords

  • Compliance
  • CSF shunting
  • Doppler sonography
  • Hydrocephalus
  • rCBF SPECT
  • Transcranial
  • Ventricular infusion test

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Our policy in diagnosis and treatment of hydrocephalus. / Kopniczky, Zsolt; Barzó, P.; Pávics, L.; Dóczi, T.; Bodosi, Mihály; Csernay, L.

In: Child's Nervous System, Vol. 11, No. 2, 02.1995, p. 102-106.

Research output: Contribution to journalArticle

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