Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention

Arquivos de Neuro-Psiquiatria

Fernando Campos Gomes Pinto²  Renan Muralho Pereira¹  Felippe Saad²  Manoel Jacobsen Teixeira² 

[1],Universidade de São Paulo Faculty of Medicine Hospital das Clínicas Institute of PsychiatrySão Paulo SP ,Brazil

关键词: hydrocephalus;    pseudotumor cerebri;    cerebrospinal fluid shunts;    hidrocefalia;    pseudotumor cerebral;    derivações do líquido céfalorraquidiano;   

DOI  :  10.1590/S0004-282X2012000900011

来源: SciELO

【 摘 要 】

Patients with hydrocephalus and risk factors for overdrainage may be submitted to ventricular shunt (VS) implant with antisiphon device. The objective of this study was to prospectively evaluate for two years the clinical and tomographic results of the implant of fixed-pressure valves with antisiphon device SPHERA® in 35 adult patients, with hydrocephalus and risk factors for overdrainage. Of these, 3 had congenital hydrocephalus in adult patients with very dilated ventricles (Evans index >50%), 3 had symptomatic overdrainage after previous VS implant (subdural hematoma, hygroma or slit ventricle syndrome), 1 had previous chronic subdural hematoma, 15 had normal pressure hydrocephalus with final lumbar pressure <5 cm H2O after tap test (40 mL), 6 had pseudotumor cerebri, and 7 had hydrocephalus due to other causes. Clinical improvement was observed and sustained in 94.3% of the patients during the two-year period with no computed tomography (CT) evidence of hypo or overdrainage, and no immediate early or late significant complications.

【 授权许可】

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