Radionuclide shunt patency study for evaluation of suspected ventriculoperitoneal shunt malfunction in adults with normal pressure hydrocephalus

Neurosurgery

Volumn 64, Issue 5, 2009, Pages 909-916

  Kharkar, Siddharth ^a   Shuck, John ^a   Kapoor, Sumit ^a   Batra, Sachin ^a   Williams, Michael A ^a   Rigamonti, Daniele ^a,b  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS HOSPITAL   (United States)

Author keywords

Normal pressure hydrocephalus; Radionuclide study; Shunt malfunction; Shunt patency; Ventriculoperitoneal shunt

Indexed keywords

PENTETATE INDIUM IN 111; DIAGNOSTIC AGENT; RADIOISOTOPE;

AGED; ALGORITHM; BRAIN SCINTISCANNING; BRAIN VENTRICLE PERITONEUM SHUNT; CATHETER OCCLUSION; CEREBROSPINAL FLUID; COMPARATIVE STUDY; CONFERENCE PAPER; DIAGNOSTIC IMAGING; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; NORMOTENSIVE HYDROCEPHALUS; PERITONEAL CAVITY; PREDICTION; PREDICTIVE VALIDITY; PRIORITY JOURNAL; REOPERATION; RETROSPECTIVE STUDY; SHUNT OBSTRUCTION; VASCULAR PATENCY; VENTRICULOATRIAL SHUNT; ARTICLE; EQUIPMENT; EQUIPMENT DESIGN; EVALUATION; FOLLOW UP; INSTRUMENTATION; PHYSIOLOGY; SCINTISCANNING; TIME;

AGED; AGED, 80 AND OVER; ALGORITHMS; EQUIPMENT DESIGN; EQUIPMENT FAILURE; FEMALE; FOLLOW-UP STUDIES; HUMANS; HYDROCEPHALUS, NORMAL PRESSURE; MALE; RADIOISOTOPES; RETROSPECTIVE STUDIES; TIME FACTORS; VASCULAR PATENCY; VENTRICULOPERITONEAL SHUNT;

EID: 67650770067     PISSN: 0148396X     EISSN: None     Source Type: Journal    
DOI: 10.1227/01.NEU.0000343545.93153.EB     Document Type: Conference Paper

References (16)

1. Bartynski WS, Valliappan S, Uselman JH, Spearman MP: The adult radiographic shuntogram. AJNR Am J Neuroradiol 21:721-726, 2000.
2. Bergsneider M, Yang I, Hu X, McArthur DL, Cook SW, Boscardin WJ: Relationship between valve opening pressure, body position, and intracranial pressure in normal pressure hydrocephalus: Paradigm for selection of programmable valve pressure setting. Neurosurgery 55:851-859, 2004.
3. Blount J P, Campbell JA, Haines SJ: Complications in ventricular cerebrospinal fluid shunting. Neurosurg Clin N Am 4:633-656, 1993.
4. Browd SR, Ragel BT, Gottfried ON, Kestle JR: Failure of cerebrospinal fluid shunts: Part I: Obstruction and mechanical failure. Pediatr Neurol 34:83-92, 2006.
5. Castillo M, Hudgins PA, Malko JA, Burrow BK, Hoffman JC Jr: Flow- sensitive MR imaging of ventriculoperitoneal shunts: In vitro findings, clinical applications, and pitfalls. AJNR Am J Neuroradiol 12:667-671, 1991.
6. Di Chiro G, Grove AS Jr: Evaluation of surgical and spontaneous cerebrospinal fluid shunts by isotope scanning. J Neurosurg 24:743-748, 1966.
7. Drake JM, Kestle JR, Milner R, Cinalli G, Boop F, Piatt J Jr, Haines S, Schiff SJ, Cochrane DD, Steinbok P, MacNeil N: Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus. Neurosurgery 43:294- 305, 1998.
8. Drake JM, Martin AJ, Henkleman RM: Determination of cerebrospinal fluid shunt obstruction with magnetic resonance phase imaging. J Neurosurg 75:535-540, 1991.
9. Flitter MA, Buchheit WA, Murtagh F, Lapayowker MS: Ultrasound determination of cerebrospinal fluid shunt patency. Technical note. J Neurosurg 42:728-730, 1975.
10. Frank E, Buonocore M, Hein L: Magnetic resonance imaging analysis of extremely slow flow in a model shunt system. Childs Nerv Syst 8:73-75, 1992.
11. Martin AJ, Drake JM, Lemaire C, Henkelman RM: Cerebrospinal fluid shunts: Flow measurements with MR imaging. Radiology 173:243-247, 1989.
12. McConnell KA, Zou KH, Chabrerie AV, Bailey NO, Black PM: Decreases in ventricular volume correlate with decreases in ventricular pressure in idiopathic normal pressure hydrocephalus patients who experienced clinical improvement after implantation with adjustable valve shunts. Neurosurgery 55:582-593, 2004.
13. Norbash AM, Pelc NJ, Shimakawa A, Enzmann DR: Shunt flow measurement and evaluation of valve oscillation with a spin-echo phase-contrast MR sequence. Radiology 190:560-564, 1994.
14. Piatt JH Jr: Pumping the shunt revisited. A longitudinal study. Pediatr Neurosurg 25:73-77, 1996.
15. Sood S, Canady AI, Ham SD: Evaluation of shunt malfunction using shunt site reservoir. Pediatr Neurosurg 32:180-186, 2000.
16. Williams MA, Razumovsky AY, Hanley DF: Evaluation of shunt function in patients who are never better, or better than worse after shunt surgery for NPH. Acta Neurochir Suppl 71:368-370, 1998.