Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele

Arquivos de Neuro-Psiquiatria

Matheus Fernandes De Oliveira¹  Manoel Jacobsen Teixeira¹  Karen Andrade Norremose¹  Hamilton Matushita¹  Marcelo De Lima Oliveira¹  Edson Bor Seng Shu¹  Fernando Campos Gomes Pinto¹ 

关键词: neurosurgery;    hydrocephalus;    shunt;    myelomeningocele;    neurocirurgia;    derivações liquóricas;    mielomeningocele;    hidrocefalia;   

DOI  :  10.1590/0004-282X20150169

来源: SciELO

【 摘 要 】

ABSTRACTIntroductionTreatment of hydrocephalus is accomplished primarily through a ventricular-peritoneal shunt (VPS). This study aims to describe the application of retrograde ventricle-sinus shunt (RVSS) in patients with hydrocephalus after surgical treatment of myelomeningocele.MethodA prospective, randomized and controlled pilot study. We consecutively enrolled 9 patients with hydrocephalus after surgical repair of myelomeningocele from January 2010 to January 2012. These patients underwent elective RVSS or VPS. Five underwent RVSS and 4 underwent VPS. Patients were followed for one year with quarterly evaluations and application of transcranial Doppler.ResultsRVSS group showed outcomes similar to those of VPS group. Doppler revealed significant improvement when comparing preoperative to postoperative period. RVSS group had significantly higher cephalic perimeter than VPS group. Neuropsychomotor development, complications and subjective outcomes did not differ between groups.ConclusionRVSS shunt is viable; it is an alternative option for the treatment of hydrocephalus.

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