Naslov
Sinus shunt- A final Solution?

Autori
Vukić, Miroslav ; Miklić, Pavle ; Klarica, Marijan

Izvornik
Neurologia Croatica (1331-5196) 52 (2003), Supl 4;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kongresno priopcenje, ostalo

Ključne riječi
SINUS SHUNT; HYDROCEPHALUS

Sažetak
Introduction: It is well known that surgical treatment of hydrocephalus is related to many problems. The frequency of complications and re-operations is unacceptably high leading to a mean « shunt survival» of 50% or less at five years and reoperations probability of 2.7 per shunt. There are two good reasons for changing the present standard of shunting to a new method that employs cranial sinuses. First, the normal receiving site of CSF is the sagitall sinus and not the peritoneal cavity, and secondly, shunting to the transverse sinus means far less mechanical and catheter related complications. We present our preliminary results of a series with 3 patients. Material and Methods: 3 young adult (mean age 15.3) patients were operated upon in 2002 and shunting of the transverse sinus using the sinus shunt was performed. All patient had obstructive hydrochephalus and two of them had a history of previous surgeries with standard shunting technique and technology. Results: All three surgeries went uneventually. There were no complications regarding the surgical procedure and no cases of thrombosis or sinus occlusion was seen. Mean follow up period was 15.3 months. Two patients had undergone postoperative MRI 9 and 12 months, respectively, where diminishing of ventricular size were noticed. Functional MRI studies had shown patency of the sinus shunt as well as the transverse sinus. Conclusion: Surgical shunting procedure was proven to be simple, fast and safe. No significant problems have been encountered in the localization and opening of transverse sinus and no adverse effect have been noticed during the observation period. Our preliminary results are promising but further studies are needed in order to test validity and efficacy of the sinus shunt.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA