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首页> 外文期刊>Neurosurgery >Pseudotumor Cerebri Patients with Shunts from the Cisterna Magna: Clinical Course and Telemetric Intracranial Pressure Data.
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Pseudotumor Cerebri Patients with Shunts from the Cisterna Magna: Clinical Course and Telemetric Intracranial Pressure Data.

机译：伪癌脑患者从大水罐分流：临床过程和遥测颅内压数据。

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OBJECTIVE: Shunting of cerebrospinal fluid (CSF) to an extracranial site is the mainstay of treatment of absorptive hydrocephalus and pseudotumor cerebri. On occasion, both lateral ventricles and the lumbar space become unsuitable for placement of a functioning CSF drainage catheter. We have encountered several such patients and describe our strategy of shunting from the cisterna magna to the pleural space or cardiac atrium. METHODS: We report a retrospective review of the clinical course of five patients with cisternal shunts and intracranial pressure telemonitoring devices. RESULTS: Cisternal shunting was able to successfully drain CSF to a normal pressure in all five patients. CSF pressure data collected from those patients indicate that the CSF pressure dynamics in cisternal shunts is similar to that of ventricular shunts. However, the cisternal shunting and subsequent high revision rate did result in a significant number of complications and two shunt infections. CONCLUSION: Shunting CSF from the cisterna magna in the absence of another suitable drainage site does result in acceptable reduction of elevated intracranial pressure. However, the technique is associated with a high complication rate that may reflect the population of patients in whom this technique is required.
机译：目的：将脑脊液（CSF）分流至颅外部位是治疗吸收性脑积水和假瘤脑的主要手段。有时，侧脑室和腰椎间隙都不适合放置功能正常的CSF引流导管。我们已经遇到了几名此类患者，并描述了我们从大水罐到胸膜腔或心房分流的策略。方法：我们报告回顾性回顾了5例伴有胸骨分流和颅内压远程监护设备的患者的病程。结果：胸骨分流术能够成功地将所有5例患者的脑脊液引流至正常压力。从这些患者收集的CSF压力数据表明，脑池分流中的CSF压力动态类似于心室分流。但是，脑池分流术和随后的高翻修率确实导致大量并发症和两次分流感染。结论：在没有另一个合适的引流部位的情况下，从水罐中分流脑脊液确实可以降低颅内压。但是，该技术具有较高的并发症发生率，这可能反映了需要该技术的患者人群。

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