image Follow Us:

Respiratio 2019; 9 (1-2): 115-119

KARAKTERISTIKE PACIJENATA SA OPERATIVNO TRETIRANIM
HIDRCEFALUSOM


THE CHARACTERISTICS OF PATIENTS WITH A SURGICAL OPERATION OF HYDROCEPHALUS


Vesna Ivanišević, Mišo Miškić, Peđa Kovačević, Danica Momčićević, Saša Dragić

Original research

Naučni članak

doi: 10.26601/rsp.aprs.19.7

Sažetak
Uvod: Hidrocefalus je hidrodinamički poremećaj toka cerebrospinalnog likvora gdje dolazi do
proširenja komornog sistema i povećanja pristiska na mozak. Tretman je uglavnom hirurški.

Ciljevi: Utvrditi zastupljenost pojedinih tipova hidrocefalusa po toku i uzroku, analizirati dobnu i
polnu zastupljenost, te diskutovati najvažnije nalaze.

Materijal i metode: Riječ je o retropektivnoj studiji nastaloj na osnovu analize podataka o hirurškom
liječenju pacijenata od hidrocefalusa u Službi za neurohirurgiju Univerzitetskog kliničkog centra
Republike Srpske u 2017 i 2018 godini.


Rezultati i diskusija: U našem uzorku nešto je veća zastupljenost hroničnih formi hidrocefalusa
(53.8% vs 46.2%). U najvišem procentu se radilo o obstruktivnom hidrocefalusu (84%), dok je učestalost
kongentialnog hidrocefalusa zabilježena u 2 % slučajeva.

Zaključak: Hidrocefalus uglavnom zahtjeva hirurški tretman, te je uvijek prije svake odluke
neophodna korelacija svih dostupnih podataka i parametara kao i dalji adekvatan nadzor od strane
neurohirurga.


Ključne riječi:
hidrodinamički poremećaj, povišen intrakranijalni pritisak, ventrikulo-peritonealni
šant.

Full Article (PDF)

Literatura

1. Rekate HL. A consensus on the classification of hydrocephalus: its utility in the assessment of abnormalities of cerebrospinal fluid dynamics. Childs Nerv Syst. 2011;27:1535-41.

[CrossRef]

 

2. Kristensen B, Malm J, Fagerland M, Hietala SO, Johansson B et al. Regional cerebral blood flow, white matter abnormalities, and cerebrospinal fluid hydrodynamics in patients with idiopathic adult hydrocephalus syndrome. J Neurol Neurosurg Psychiatry. 1999;60(3):282-8.

[CrossRef]

 

 

3. Fishman MA. Hydrocephalus. In: Neurological pathophysiology, Eliasson SG, Prensky AL, Hardin WB (Eds), Oxford, New York 1978.

 

 

4. Lee SC, Lueck CJ. Cerebrospinal fluid pressure in adults. J Neuroophthalmol 2014; 34:278-81.

[CrossRef]

 

 

5. Kulkarni AV, Riva-Cambrin J, Rozzelle CJ, Naftel RP, Alvey JS et al. Endoscopic third ventriculostomy and choroid plexus cauterization in infant hydrocephalus: a prospective study by the Hydrocephalus Clinical Research Network.J Neurosurg Pediatr. 2018;21(3):214-23.

[CrossRef]

 

 

6. Graff-Radford NR, Knopman DS, Penman AD. Do systolic BP and pulse pressure relate to ventricular enlargement? Eur J Neurol 2013;20:720-43.

[CrossRef]

 

 

7. Marshall LF. Head Injury: recent past, present, and future. Neurosurgery 2000;47:546-61.

[CrossRef]

 

 

8. Savolainen S, Laakso MP, Paljärvi Let. MR imaging of the hippocampus in normal pressure hydrocephalus:correlations with cortical Alzheimer's disease confirmed by pathologic analysis. AJNR Am J Neuroradiol 2000;21:409-19.

 

 

9. Tullberg M, Jensen C, Ekholm S, Wikkelso C. Normal pressure hydrocephalus: vascular white matter changes on MR images must not exclude patients from shunt surgery. AJNR Am J Neuroradiol 2001;22:1665-83.

 

 

10. Hakim R, Black PM. Correlation between lumboventricular perfusion and MRI-CSF flow studies in idiopathic normal pressure hydrocephalus. Surg Neurol 1998;49:14-7.

[CrossRef]

 

 

11. Dewan MC, Lim J, Gannon SR, Heaner D, Davis MC, Vaughn B, Chern et al. Comparison of hydrocephalus metrics between infants successfully treated with endoscopic third ventriculostomy with choroid plexus cauterization and those treated with a ventriculoperitoneal shunt: a multicenter matchedcohort analysis. J Neurosurg Pediatr. 2018; 21(4):339- 45.

[CrossRef]

 

 

12. Kang K, Ko PW, Jin M, Suk K, Lee HW. Idiopathic normal-pressure hydrocephalus, cerebrospinal fluid biomarkers, and the cerebrospinal fluid tap test.J Clin Neurosci. 2014; 21(8):1398-403.

[CrossRef]

 

 

13. Warf BC, Bhai S, Kulkarni AV, Mugamba J. Shunt survival after failed endoscopic treatment of hydrocephalus. J Neurosurg Pediatr. 2012;10(6):463-70.

[CrossRef]

 

 

14. Weiner HL, Constantini S, Cohen H, Wisoff JH. Current treatment of normal-pressure hydrocephalus: comparison of flow-regulated and differential-pressure shunt valves. Neurosurgery 1995; 37:877-99.

[CrossRef]

 

 

15. Pujari S, Kharkar S, Metellus P. Normal pressure hydrocephalus: long-term outcome after shunt surgery. J Neurol Neurosurg Psychiatry 2008;79:1282-91.

[CrossRef]

 

 

Doc. dr sc. med. Vesna Ivanišević
Služba za neurohirurgiju
Telefon: +387 65 510 779
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Travel Turne Tranzito