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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Academia Brasileira de Neurologia (ABNEURO)
2012-09-01
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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 |
work_keys_str_mv |
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