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Hydrocephalus

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Treatment Options for Hydrocephalus Following Foramen Magnum Decompression for Chiari I Malformation: A Multicenter Study.

Andrea Bartoli, Jehuda Soleman, Assaf Berger, Jeffrey H Wisoff, Eveline Teresa Hidalgo, Francesco T Mangano, Robert F Keating, Ulrich W Thomale, Frederick Boop, Jonathan Roth, Shlomi Constantini,

BACKGROUND:New-onset hydrocephalus following foramen magnum decompression (FMD) for Chiari I malformation (CM-I) is rare; its natural history and pathophysiology are poorly understood. OBJECTIVE:To describe a series of patients who developed hydrocephalus following FMD for CM-I, provide possible explanations of this phenomenon, and outline treatment options. METHODS:Out of patients undergoing FMD ... Read more >>

Neurosurgery (Neurosurgery)
[2020, 86(4):500-508]

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Retrospective analysis of the clinical and radiological features of 94 consecutive DIPGs patients to investigate the factors determining the development of hydrocephalus and its impact on clinical status and survival.

Carlo Giussani, Lelio Guida, Veronica Biassoni, Elisabetta Schiavello, Giorgio Carrabba, Andrea Trezza, Erik Sganzerla, Maura Massimino,

PURPOSE:There is no consensus in the literature about the impact of hydrocephalus on clinical course and overall survival of diffuse intrinsic pontine gliomas (DIPG) patients as well as about its specific treatment. Authors reviewed a series of DIPG patients to investigate factors related to the onset of hydrocephalus, its treatment, ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Cerebrospinal fluid dynamics in idiopathic normal pressure hydrocephalus on four-dimensional flow imaging.

Shigeki Yamada, Masatsune Ishikawa, Hirotaka Ito, Kazuo Yamamoto, Makoto Yamaguchi, Marie Oshima, Kazuhiko Nozaki,

OBJECTIVES:To evaluate complex CSF movements and shear stress in patients with idiopathic normal pressure hydrocephalus (iNPH) on four-dimensional (4D) flow MRI. METHODS:Three-dimensional velocities and volumes of the reciprocating CSF movements through 12 ROIs from the foramen of Monro to the upper cervical spine were measured in 41 patients with iNPH, ... Read more >>

Eur Radiol (European radiology)
[2020, :]

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A Cohort Comparison Analysis of Fixed Pressure Ventriculoperitoneal Shunt Valves With Programmable Valves for Hydrocephalus Following Nontraumatic Subarachnoid Hemorrhage.

Eduardo Orrego-González, Alejandro Enriquez-Marulanda, Luis C Ascanio, Noah Jordan, Khalid A Hanafy, Justin M Moore, Christopher S Ogilvy, Ajith J Thomas,

BACKGROUND:Hydrocephalus after nontraumatic subarachnoid hemorrhage (SAH) is a common sequela that may require the placement of ventriculoperitoneal shunts (VPS). Adjustable-pressure valves (APVs) are being widely used in this situation though more expensive than differential-pressure valves (DPVs). OBJECTIVE:To compare outcomes between APV and DPV in SAH-induced hydrocephalus. METHODS:We performed a retrospective ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, 18(4):374-383]

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Cerebrospinal fluid dynamics in non-acute post-traumatic ventriculomegaly.

Afroditi D Lalou, Virginia Levrini, Marek Czosnyka, Laurent Gergelé, Matthew Garnett, Angelos Kolias, Peter J Hutchinson, Zofia Czosnyka,

BACKGROUND:Post-traumatic hydrocephalus (PTH) is potentially under-diagnosed and under-treated, generating the need for a more efficient diagnostic tool. We aim to report CSF dynamics of patients with post-traumatic ventriculomegaly. MATERIALS AND METHODS:We retrospectively analysed post-traumatic brain injury (TBI) patients with ventriculomegaly who had undergone a CSF infusion test. We calculated the ... Read more >>

Fluids Barriers CNS (Fluids and barriers of the CNS)
[2020, 17(1):24]

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Spontaneous hemispheric ventricular collapse and subarachnoid haemorrhages in a dog with congenital hydrocephalus internus.

Agnieszka Olszewska, Daniela Farke, Martin Jürgen Schmidt,

Background:Overdrainage and collapse of the hemispheres is a potential severe complication after surgical treatment of internal hydrocephalus using ventriculoperitoneal shunts. Here we describe a case of a spontaneous hemispheric ventricular collapse in an untreated dog with congenital hydrocephalus internus. Case presentation:A twelve-week-old, male, intact Golden Retriever was presented with a ... Read more >>

Ir Vet J (Irish veterinary journal)
[2020, 73:5]

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Alterations in skull base anatomy in intrauterine and postnatal repaired myelomeningoceles.

Marcos Devanir Silva da Costa, Jardel Mendonça Nicacio, Patricia Alessandra Dastoli, Italo Capraro Suriano, Stéphanno Gomes Pereira Sarmento, Mauricio Mendes Barbosa, Antonio Fernandes Moron, Sergio Cavalheiro,

PURPOSE:The aim of this study was to analyze the skull base anatomy of patients who underwent intrauterine or postnatal myelomeningocele repair and to determine its relationship with hydrocephalus. METHODS:This was a retrospective cross-sectional study that analyzed three groups: the postnatal group, 57 patients who underwent myelomeningocele repair up to 48 h ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Cerebrospinal Fluid Shunting Improves Long-Term Quality of Life in Idiopathic Normal Pressure Hydrocephalus.

Hanna Israelsson, Anders Eklund, Jan Malm,

BACKGROUND:The short- and long-term impact of cerebrospinal fluid shunting on quality of life (QoL) in idiopathic normal pressure hydrocephalus (INPH) is poorly understood. OBJECTIVE:To investigate QoL in shunted INPH patients compared to the population and to investigate which factors influence QoL in INPH. METHODS:INPH patients consecutively shunted in Sweden during ... Read more >>

Neurosurgery (Neurosurgery)
[2020, 86(4):574-582]

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ETV in infancy and childhood below 2 years of age for treatment of hydrocephalus.

Ahmed El Damaty, Sascha Marx, Gesa Cohrs, Marcus Vollmer, Ahmed Eltanahy, Ehab El Refaee, Joerg Baldauf, Steffen Fleck, Heidi Baechli, Ahmed Zohdi, Michael Synowitz, Andreas Unterberg, Henry W S Schroeder,

PURPOSE:Age and etiology play a crucial role in success of endoscopic third ventriculostomy (ETV) as a treatment of obstructive hydrocephalus. Outcome is worse in infants, and controversies still exist whether ETV is superior to shunt placement. We retrospectively analyzed 70 patients below 2 years from 4 different centers treated with ETV ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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MT1-MMP deficiency leads to defective ependymal cell maturation, impaired ciliogenesis and hydrocephalus.

Zhixin Jiang, Jin Zhou, Xin Qin, Huiling Zheng, Bo Gao, Xin-Guang Liu, Guoxiang Jin, Zhongjun Zhou,

Hydrocephalus is characterized by abnormal accumulation of cerebrospinal fluid (CSF) in the ventricular cavity. The circulation of CSF in brain ventricles is controlled by the coordinated beating of motile cilia at the surface of ependymal cells (ECs). Here we show that MT1-MMP is highly expressed in olfactory bulb, rostral migratory ... Read more >>

JCI Insight (JCI insight)
[2020, :]

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Prognosis regarding shunt revision and mortality among hydrocephalus patients below the age of 2 years and the association to patient-related risk factors.

Tina Nørgaard Munch, Sanne Gørtz, John Hauerberg, Jan Wohlfahrt, Mads Melbye,

BACKGROUND:Little is known about the prognosis regarding shunt revision and mortality among hydrocephalus patients below 2 years of age. The aims of this study were to investigate (1) the cumulative risks of shunt revision (SR) and mortality and (2) the potential associations between prematurity, low weight for gestational age (LWGA), underlying ... Read more >>

Acta Neurochir (Wien) (Acta Neurochirurgica)
[2020, :]

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Changes of third ventricle diameter (TVD) mirror changes of the entire ventricular system at acute shunt failure and after shunt revision in pediatric hydrocephalus.

Susanne R Kerscher, Louise L Schweizer, Karin Haas-Lude, Andrea Bevot, Martin U Schuhmann,

PURPOSE:In hydrocephalic children, regular investigations of the ventricles are important for initial diagnosis and after initial treatment. Our recent study showed that changes of the third ventricle diameter (TVD) reliably reflect changes of the entire ventricular system at diagnosis and following initial therapy. This study compares changes of TVD with ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Aqueductal Compression By Dilated Virchow-Robin Spaces In The Mesencephalic-Pontine Region Presenting With Symptoms Mimicking Normal Pressure Hydrocephalus: A Case Report And Review Of Literature.

Yu Tung Lo, Ramez Wadie Kirollos, Min Wei Chen, Tien Ming Cheong, Nicole Chwee Har Keong,

BACKGROUND:Dilatation of Virchow-Robin spaces (dVRS) have been described in the development of hydrocephalic syndromes. We report an unusual case of a Type III dVRS presenting as a mimic of normal pressure hydrocephalus (NPH), due to distortion at the level of the cerebral aqueduct. CASE DESCRIPTION:A 59-year-old female presented with mild ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Identification of Normal Pressure Hydrocephalus by Disease-Specific Patterns of Brain Stiffness and Damping Ratio.

Matthew C Murphy, Petrice M Cogswell, Joshua D Trzasko, Armando Manduca, Matthew L Senjem, Fredric B Meyer, Richard L Ehman, John Huston,

OBJECTIVES:The aim of this study was to perform a whole-brain analysis of alterations in brain mechanical properties due to normal pressure hydrocephalus (NPH). MATERIALS AND METHODS:Magnetic resonance elastography (MRE) examinations were performed on 85 participants, including 44 cognitively unimpaired controls, 33 with NPH, and 8 who were amyloid-positive with Alzheimer ... Read more >>

Invest Radiol (Investigative radiology)
[2020, 55(4):200-208]

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Skull base aneurysmal bone cyst presenting with hydrocephalus: progressive residuum obliterated by Gamma Knife stereotactic radiosurgery in a pediatric patient.

George H Tse, Feng Y Jiang, Matthias W R Radatz, Saurabh Sinha, Hesham Zaki,

Aneurysmal bone cysts (ABCs) are an uncommon entity predominantly encountered in the pediatric population. The skull is rarely involved, but these cysts have been reported to arise in the skull base. Traditional treatment has been with surgery alone; however, there is a gathering body of literature that reports alternative treatments ... Read more >>

J Neurosurg Pediatr (Journal of neurosurgery. Pediatrics)
[2020, :1-6]

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Detailed visual assessment of striatal dopaminergic depletion in patients with idiopathic normal pressure hydrocephalus: Unremarkable or not?

Kyum-Yil Kwon, Jeong-Yoon Lee, Soo Park, Mina Lee, Hyunjin Ju, Kayeong Im,

<title>Abstract</title> <p> Background Dopamine transporter (DAT) imaging may enable clinicians to discriminate idiopathic normal pressure hydrocephalus (iNPH) from other parkinsonian disorders. However, a specific pattern of dopaminergic loss in DAT imaging of iNPH patients remains to be further elucidated. Methods In this preliminary study, 11 patients with iNPH ... Read more >>

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Ventriculoperitoneal shunt insertion in human immunodeficiency virus infected adults: a systematic review and meta-analysis

James Loan, Michael Poon, Steven Tominey, Ncedile Mankahla, Graeme Meintjes, Graham Fieggen,

<title>Abstract</title> <p> Background Hydrocephalus is a common, life threatening complication of human immunodeficiency virus (HIV)-related central nervous system opportunistic infection which can be treated by insertion of a ventriculoperitoneal shunt (VPS). In HIV-infected patients there is concern that VPS might be associated with unacceptably high mortality. To identify ... Read more >>

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The association between intraocular pressure and intracranial pressure in patients with hydrocephalus?

Halil Onder,

Herein, I comment on the article by by Wang et al., in which they investigate the utility of intraocular pressure (IOP) in predicting intracranial pressure (ICP) in patients with hydrocephalus. I appreciate the authors for performing this original study and for including this large number of patients with hydrocephalus. However, I ... Read more >>

Int. J. Neurosci. (The International journal of neuroscience)
[2020, :1-3]

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Defining a Taxonomy of Intracranial Hypertension: Is ICP More Than Just a Number?

W Andrew Kofke, Swarna Rajagopalan, Diana Ayubcha, Ramani Balu, Jovany Cruz-Navarro, Panumart Manatpon, Elizabeth Mahanna-Gabrielli,

Intracranial pressure (ICP) monitoring and control is a cornerstone of neuroanesthesia and neurocritical care. However, because elevated ICP can be due to multiple pathophysiological processes, its interpretation is not straightforward. We propose a formal taxonomy of intracranial hypertension, which defines ICP elevations into 3 major pathophysiological subsets: increased cerebral blood ... Read more >>

J Neurosurg Anesthesiol (Journal of neurosurgical anesthesiology)
[2020, 32(2):120-131]

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Letter to the Editor Regarding "Are Hygromas and Hydrocephalus After Decompressive Craniectomy Caused by Impaired Brain Pulsatility, Cerebrospinal Fluid Hydrodynamics, and Glymphatic Drainage? Literature Overview and Illustrative Cases".

Nelson A Picard, Carlos A Zanardi,

World Neurosurg (World neurosurgery)
[2020, 136:426]

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Endoscopic-assisted surgery versus microsurgery for pineal region tumors: a single-center retrospective study.

Can Xin, Zhongwei Xiong, Xixi Yan, Seyedali Zolfaghari, Yuankun Cai, Zhiyang Ma, Tingbao Zhang, Jianjian Zhang, Zhengwei Li, Kui Liu, Jincao Chen,

Pineal region tumors are extremely deep-seated and surgically challenging. The exposure and visualization obtained by microscopic surgery are relatively limiting. The application of high-definition endoscopes has recently provided neurosurgeons with a much more magnified and clearer view of the anatomy in the pineal region. The present study was performed to ... Read more >>

Neurosurg Rev (Neurosurgical review)
[2020, :]

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In Reply to the Letter to the Editor Regarding "Are Hygromas and Hydrocephalus After Decompressive Craniectomy Caused by Impaired Brain Pulsatility, Cerebrospinal Fluid Hydrodynamics, and Glymphatic Drainage? Literature Overview and Illustrative Cases".

Paul T Akins, Kern H Guppy,

World Neurosurg (World neurosurgery)
[2020, 136:427]

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A rare case of intralesional haemorrhage of a benign aqueductal cyst after CSF diversion treatment. A case report and review of literature.

R D Biju, J O' Sullivan, A Thomas, P Gan, T Muthu,

Benign cysts within the pure aqueductal region are a rare entity. Their critical location within the ventricular system presents a risk of potentially catastrophic outcomes. We present a case of a 68-year-old female who was transferred to our unit with an acute obstructive triventricular hydrocephalus caused by a benign cyst ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2020, :1-5]

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Distal catheter lengthening in pediatric patients with hydrocephalus using a guidewire-assisted technique.

Maria A Poca, Paola Cano, Francisca Munar, Diego González, Katiuska Rosas, Juan Sahuquillo,

PURPOSE:The aim of this study was to evaluate the lengthening or replacement of the peritoneal catheter in a ventriculoperitoneal shunt by using a simple guidewire-assisted technique. Here we report on our experience with this methodology, its indications, caveats, and contraindications. METHODS:A prospective study was performed in 59 consecutively shunted children ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Development of normal pressure hydrocephalus following post-traumatic external hydrocephalus in an adult patient.

Romain Manet, Laurent Gergelé, Thomas Grenier, Zofia H Czosnyka, Marek Czosnyka,

We report the case of 74-year-old patient suspected of post-traumatic external hydrocephalus (EH) following a mild traumatic brain injury with a progressive neurological decline and a concomitant enlargement of subarachnoid spaces without ventriculomegaly on CT scan. A lumbar puncture revealed raised ICP and a careful CSF withdrawal was performed, resulting ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2020, :1-4]

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