Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele

ABSTRACT Introduction Treatment of hydrocephalus is accomplished primarily through a ventricular-peritoneal shunt (VPS). This study aims to describe the application of retrograde ventricle-sinus shunt (RVSS) in patients with hydrocephalus after surgical treatment of myelomeningocele. Method A pr...

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Main Authors: Matheus Fernandes de Oliveira, Manoel Jacobsen Teixeira, Karen Andrade Norremose, Hamilton Matushita, Marcelo de Lima Oliveira, Edson Bor Seng Shu, Fernando Campos Gomes Pinto
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2015-12-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015001201019&lng=en&tlng=en
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author Matheus Fernandes de Oliveira
Manoel Jacobsen Teixeira
Karen Andrade Norremose
Hamilton Matushita
Marcelo de Lima Oliveira
Edson Bor Seng Shu
Fernando Campos Gomes Pinto
author_facet Matheus Fernandes de Oliveira
Manoel Jacobsen Teixeira
Karen Andrade Norremose
Hamilton Matushita
Marcelo de Lima Oliveira
Edson Bor Seng Shu
Fernando Campos Gomes Pinto
author_sort Matheus Fernandes de Oliveira
collection DOAJ
description ABSTRACT Introduction Treatment of hydrocephalus is accomplished primarily through a ventricular-peritoneal shunt (VPS). This study aims to describe the application of retrograde ventricle-sinus shunt (RVSS) in patients with hydrocephalus after surgical treatment of myelomeningocele. Method A prospective, randomized and controlled pilot study. We consecutively enrolled 9 patients with hydrocephalus after surgical repair of myelomeningocele from January 2010 to January 2012. These patients underwent elective RVSS or VPS. Five underwent RVSS and 4 underwent VPS. Patients were followed for one year with quarterly evaluations and application of transcranial Doppler. Results RVSS group showed outcomes similar to those of VPS group. Doppler revealed significant improvement when comparing preoperative to postoperative period. RVSS group had significantly higher cephalic perimeter than VPS group. Neuropsychomotor development, complications and subjective outcomes did not differ between groups. Conclusion RVSS shunt is viable; it is an alternative option for the treatment of hydrocephalus.
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spelling doaj.art-b1de337641ae4eafb86f8c60a5befb652022-12-21T20:44:21ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272015-12-0173121019102510.1590/0004-282X20150169S0004-282X2015001201019Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningoceleMatheus Fernandes de OliveiraManoel Jacobsen TeixeiraKaren Andrade NorremoseHamilton MatushitaMarcelo de Lima OliveiraEdson Bor Seng ShuFernando Campos Gomes PintoABSTRACT Introduction Treatment of hydrocephalus is accomplished primarily through a ventricular-peritoneal shunt (VPS). This study aims to describe the application of retrograde ventricle-sinus shunt (RVSS) in patients with hydrocephalus after surgical treatment of myelomeningocele. Method A prospective, randomized and controlled pilot study. We consecutively enrolled 9 patients with hydrocephalus after surgical repair of myelomeningocele from January 2010 to January 2012. These patients underwent elective RVSS or VPS. Five underwent RVSS and 4 underwent VPS. Patients were followed for one year with quarterly evaluations and application of transcranial Doppler. Results RVSS group showed outcomes similar to those of VPS group. Doppler revealed significant improvement when comparing preoperative to postoperative period. RVSS group had significantly higher cephalic perimeter than VPS group. Neuropsychomotor development, complications and subjective outcomes did not differ between groups. Conclusion RVSS shunt is viable; it is an alternative option for the treatment of hydrocephalus.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015001201019&lng=en&tlng=enneurocirurgiaderivações liquóricasmielomeningocelehidrocefalia
spellingShingle Matheus Fernandes de Oliveira
Manoel Jacobsen Teixeira
Karen Andrade Norremose
Hamilton Matushita
Marcelo de Lima Oliveira
Edson Bor Seng Shu
Fernando Campos Gomes Pinto
Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele
Arquivos de Neuro-Psiquiatria
neurocirurgia
derivações liquóricas
mielomeningocele
hidrocefalia
title Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele
title_full Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele
title_fullStr Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele
title_full_unstemmed Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele
title_short Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele
title_sort surgical technique of retrograde ventricle sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele
topic neurocirurgia
derivações liquóricas
mielomeningocele
hidrocefalia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015001201019&lng=en&tlng=en
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