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- Title
Ventriculosinus shunt.
- Authors
Toma, Ahmed K.; Tarnaris, Andrew; Kitchen, Neil D.; Watkins, Laurence D.
- Abstract
Hydrocephalus can be managed successfully with cerebrospinal fluid shunting to extracranial compartments, most commonly the peritoneum. However, current shunt systems are not ideal with high revision rates on long-term follow-up. Draining the cerebrospinal fluid from the cerebral ventricles to the cerebral venous sinuses could mimic the physiological conditions with the added advantages of avoiding overdrainage and extracranial recipient site complications. A literature search was carried out using the keywords hydrocephalus, shunt, venous sinus and sagittal sinus. Seven clinical series of ventriculosinus shunts with a total of 265 patients were found. None of the patients developed venous sinus thrombosis, air embolism or intra-operative sinus bleeding. Ventriculosinus shunt is a potential alternative that can be done under local anaesthetic in ill patients where traditional shunts recipient sites are not feasible. However, further studies with extended follow-up period would provide better understanding of the suitability and indications of this technique.
- Subjects
HYDROCEPHALUS; CEREBROSPINAL fluid; CEREBRAL ventricles; SINUSITIS; SAGITTAL curve
- Publication
Neurosurgical Review, 2010, Vol 33, Issue 2, p147
- ISSN
0344-5607
- Publication type
Article
- DOI
10.1007/s10143-010-0242-0