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

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 antisipho...

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Main Authors: Fernando Campos Gomes Pinto, Renan Muralho Pereira, Felippe Saad, Manoel Jacobsen Teixeira
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2012-09-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000900011&lng=en&tlng=en
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spelling doaj-8bd604d286eb42c2877fd935d2b5a9992020-11-25T00:59:21ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272012-09-0170970470910.1590/S0004-282X2012000900011S0004-282X2012000900011Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage preventionFernando Campos Gomes Pinto0Renan Muralho Pereira1Felippe Saad2Manoel Jacobsen Teixeira3Universidade de São PauloUSPUniversidade de São PauloUniversidade de São PauloPatients 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000900011&lng=en&tlng=enhidrocefaliapseudotumor cerebralderivações do líquido céfalorraquidiano
collection DOAJ
language English
format Article
sources DOAJ
author Fernando Campos Gomes Pinto
Renan Muralho Pereira
Felippe Saad
Manoel Jacobsen Teixeira
spellingShingle Fernando Campos Gomes Pinto
Renan Muralho Pereira
Felippe Saad
Manoel Jacobsen Teixeira
Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention
Arquivos de Neuro-Psiquiatria
hidrocefalia
pseudotumor cerebral
derivações do líquido céfalorraquidiano
author_facet Fernando Campos Gomes Pinto
Renan Muralho Pereira
Felippe Saad
Manoel Jacobsen Teixeira
author_sort Fernando Campos Gomes Pinto
title Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention
title_short Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention
title_full Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention
title_fullStr Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention
title_full_unstemmed Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention
title_sort performance of fixed-pressure valve with antisiphon device sphera® in hydrocephalus treatment and overdrainage prevention
publisher Academia Brasileira de Neurologia (ABNEURO)
series Arquivos de Neuro-Psiquiatria
issn 1678-4227
publishDate 2012-09-01
description 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.
topic hidrocefalia
pseudotumor cerebral
derivações do líquido céfalorraquidiano
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000900011&lng=en&tlng=en
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