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Ventriculosubgaleal shunt in the management of obstructive hydrocephalus caused by cerebellar infarction
| Content Provider | Semantic Scholar |
|---|---|
| Author | Moussa, Wael Mohamed Mohamed Farhoud, Ahmed |
| Copyright Year | 2013 |
| Abstract | Cerebellar infarction; Decompression; Ventriculosubgaleal shunt Abstract Introduction: Cerebellar infarction is relatively uncommon. Small infarctions only cause cerebellar manifestations e.g. ataxia and nystagmus and are treated medically. Large cerebellar infarctions, however, can be life threatening. It cause brain stem compression and can obstruct the cerebrospinal fluid pathway causing obstructive hydrocephalus. It has to be treated promptly and may require besides the medical treatment surgical intervention as well. This is mainly in the form of posterior fossa decompression. In this study, we studied the beneficial effect of inserting a temporary ventriculoperitoneal shunt to relieve the supratentorial hydrocephalus in addition to posterior fossa decompression on the morbidity and mortality of patients in comparison to posterior fossa decompression alone. Aim of the work: The aim of this study was to evaluate the role of ventriculosubgaleal shunt in cerebellar infarction causing supratentorial ventricular dilatation. Methods: This was a retrospective study that included ten patients having extensive cerebellar infarction causing spratentorial hydrocephalus. They were divided into two groups, group (1) was submitted to posterior fossa decompression alone and group (2) was submitted to posterior fossa decompression in addition to temporary ventriculosubgaleal shunt insertion. Results: Group (2) which had posterior fossa decompression in addition to temporary. ventriculosubgaleal shunt hadmuchbetter results than group (1) which had only posterior fossa decompression. Group (2) had a lower morbidity and mortality and a shorter hospital stay than group (1). Conclusion: Temporary insertion of ventriculosubgaleal shunt is recommended in patients having extensive cerebellar infarction causing supratentorial hydrocephalus in addition to posterior fossa decompression. It results in a lower morbidity and mortality and a shorter hospital stay. a 2012 Alexandria University Faculty of Medicine. Production and hosting by Elsevier B.V. All rights reserved. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://applications.emro.who.int/imemrf/Alex_J_Med/Alex_J_Med_2013_49_2_105_110.pdf |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Ataxia Brain Stem Cerebellar Diseases Cerebrospinal Fluid Cortical Cell Layer of the Cerebellum Data compression Dilate procedure Gene regulatory network Insertion Mutation Intracranial Hypertension Intracranial Pressure Large Mass Effect Trilogy Morbidity - disease rate Mortality Vital Statistics Myocardial Infarction Nystagmus Obstructive Hydrocephalus Operative Surgical Procedures Patients Surgical Portosystemic Shunt Ventricular dilatation (disorder) childhood cerebellar astrocytoma childhood supratentorial ependymoma |
| Content Type | Text |
| Resource Type | Article |
