A model of in-vivo hydrocephalus shunt dynamics for blockage and performance diagnostics

Mathematical Medicine and Biology

Volumn 21, Issue 4, 2004, Pages 347-368

  Schley, D ^a   Billingham, John ^b   Marchbanks, R J ^a  

^a SOUTHAMPTON GENERAL HOSPITAL   (United Kingdom)

^b UNIVERSITY OF NOTTINGHAM   (United Kingdom)

Author keywords

Blockage detection; Flow dynamics; Hydrocephalus shunt; Mathematical model

Indexed keywords

CEREBROSPINAL FLUID;

BLOCKAGE DETECTION; CONDITION; FLOW DYNAMICS; HYDROCEPHALUS SHUNTS; IN-VIVO; INTRACRANIAL PRESSURE; NON- INVASIVE MEASUREMENTS; PERFORMANCE DIAGNOSTICS; PRESSURE DEPENDENT; SYSTEM FUNCTIONS;

PRESSURE MEASUREMENT;

ARTICLE; ATMOSPHERIC PRESSURE; BRAIN VENTRICLE PERITONEUM SHUNT; CEREBROSPINAL FLUID FLOW; EQUIPMENT DESIGN; HUMAN; HYDROCEPHALUS; HYSTERESIS; IN VIVO STUDY; INTRACRANIAL PRESSURE; MATHEMATICAL MODEL; NON INVASIVE MEASUREMENT; PATIENT MONITORING; TREATMENT FAILURE;

EID: 11044233150     PISSN: 14778599     EISSN: None     Source Type: Journal    
DOI: 10.1093/imammb/21.4.347     Document Type: Article

References (28)

1. Andreoli, C. M., Leff, G. B. & Rizzo, J. F. (2002) Sneeze-induced visual and ocular motor dysfunction. Am. J. Ophthalmol. 133, 725-727.
2. Becker, D. P. & Nulsen, F. E. (1968) Control of hydrocephalus by valve regulated venus shunts: avoidance of complications in prolonged shunt maintenance. J. Neurosurg., 28, 215-266.
3. Birch, A. A., Neil-Dwyer, G. & Murrills, A. J. (2002) The repeatability of cerebral autoregulation assessment using sinusoidal lower body negative pressure. Physiol. Meas., 23, 73-83.
4. Bloomfield, I. G., Johnston, I. H. & Bilston, L. E. (1998) Effects of proteins, blood cells and glucose on the viscosity of cerebrospinal fluid. Pediatr. Neurosurg., 28, 246-251.
5. Burge, D., Flynn, S. & Marchbanks, R. (1995) Assessment of the clinical value of the tympanic membrane displacement (TMD) test in children with shunted Hydrocephalus. Intracranial and Intralabyrinthine Fluids: Basic Aspect and Clinical Applications. (A. Ernst, R. Marchbanks & M. Samii, eds). Berlin: Springer.
6. Chabrerie, A. & Black, P. M. (2002) Ventricular shunts. J. Intens. Care Med., 17, 218-229.
7. Cote, G. L., Durai, R. & Zoghi, B. (1995) Nonlinear closed loop control system for intracranial pressure regulation. Ann. Biomed. Engng., 23, 760-771.
8. Czosnyka, Z., Czosnyka, M., Richards, H. K., Pickard, J. D. & Chir, M. (1998) Posture-related overdrainage: comparison of the performance of 10 hydrocephalus shunts in vitro. Neurosurgery, 42, 327-334.
9. Czosnyka, M., Czosnyka, Z., Whitehouse, H. & Pickard, J. D. (1997) Hydrodynamic properties of hydrocephalus shunts: United Kingdom shunt evaluation laboratory. J. Neurol. Neurosurg. Psychiatry, 62, 43-50.
10. Faulhauer, K. & Schmitz, P. (1978) Overdrainage phenomena in shunt treated hydrocephalus. Acta Neurochir., 45, 89-101.
11. Gilmore, J. H., Gerig, G., Specter, B., Charles, H. C., Wilber, J. S., Hertzberg, B. S. & Kliewer, M. A. (2001) Infant cerebral ventricle volume: a comparison of 3-D ultrasound and magnetic resonance imaging. Ultrasound Med. Biol., 27, 1143-1146.
12. Kieksen, R., Martier, W., Pothman, R., Bock, W. J. & Siebert, H. (1982) The slit ventricle syndrome after shunting in hydrochephalus children. Neuropediatrics, 13, 190-194.
13. Marchbanks, R. J. (2003) Measurement of inner ear fluid pressure and clinical applications. Textbook of Audiological Medicine: Clinical Aspects of Hearing and Balance, Chapter 17. (L. Luxon, ed.). London: Dunitz, pp. 289-307.
14. McComb, J. G. (1990) Techniques for CSF diversion. Concepts in Neurosurgery: Hydrocephalus. (R. M. Scott & W. Williams, eds). Baltimore, MD: William & Wilkins, 3, pp. 47-65.
15. Medtronic (2001) PS Medical strata valve: the adjustable delta valve. Medtronic Technical Bulletin. Goleta, CA: Medtronic.
16. Mollanji, R., Boganovic-Sosic, R., Silver, I. R., Li, B., Kim, C., Midha, R. & Johnston, M. (2001) Intracranial pressure accommodation is impaired by blocking pathways leading to extracranial lymphatics. Am. J. Physiol., 280, R1573-R1581.
17. Morgalla, M. H., Stummb, F. & Hessec, G. (1999) A computer-based method for continuous single pulse analysis of intracranial pressure waves. J. Neurol. Sci., 168, 90-95.
18. Punt, J. (2004) Failure of diagnosis in hydrocephalus shunt malfunction. Clin. Risk, 10, 14-17.
19. Rekate, H. L., Brodkey, J. A., Chizeck, H. J., El Sakka, W. & Ko, W. H. (1988) Ventricular volume regulation: a mathematical model and computer simulation. Pediatr. Neurosci., 14, 77-84.
20. Rekate, H. L. (1999) Biophysics of the CSF pathways: what can and what should a shunt do? FDA Conference on Shunt Technology: Challenges and Emerging Direction, Maryland, 8 Jan 1999, National Naval Medical Center.
21. Riser, P. (1929) Le liquide cephalo-Rachidien Paris: Masson. As cited in The Physiology and Pathophysiology of the Cerebrospinal Fluid, Davson H., Welch K. and Segal M. B.. published by Churchill Livingston 1987.
22. Sainte-Rose, C. & Drake, J. M. (1995) The Shunt Book. Oxford: Blackwell.
23. Schuhmann, M.U., Schneekloth, C. G., Klinge, P., Engel, M., Samii, M. & Brinker, T. (2000) Dynamic shunt testing applying short lasting pressure waves - inertia of shunt systems. Proc. 11th Int. Symp. on Intracranial Pressure and Brain Monitoring, Cambridge.
24. Shapiro, K. & Fired, A. (1986) Pressure-volume relationships in shunt dependent childhood hydrocephalus: the zone of pressure instability in children with acute deterioration. J. Neurosurg., 64, 390-396.
25. Sivaloganathan, S., Tenit, G. & Drake, J. M. (1998) Mathematical pressure volume models of cerebrospinal fluid. Appl. Math. Comput., 94, 243-266.
26. Wisoff, J. & Epstein, F. (1990) Diagnosis and treatment of the slit ventricle syndrome. Concepts of Neurosurgery: Hydrocephalus Vol. 3. (R. M. Scott, ed.). Baltimore, MD: Williams and Wilkins, pp. 79-85.
27. Yau, Y. H., Piper, I. R., Clutton, R. E. & Whittle, I. R. (2000) Experimental evaluation of the Spiegelberg intracranial pressure and intracranial compliance monitor: Technical Note Neurosurgical Focus 9. (http://www.aans.org/education/journal/neurosurgical/)
28. Zoghi, B., Cote, G. L. & Rastegar, S. (1992) An optically based implantable sensor for intracranial pressure measurements. SPIE Int. Biomedical Optics Conference, Los Angeles, Jan 1992.