Lumbo-omental shunt for drainage of cerebrospinal fluid in hydrocephalus
Identifieur interne : 00FF98 ( Main/Curation ); précédent : 00FF97; suivant : 00FF99Lumbo-omental shunt for drainage of cerebrospinal fluid in hydrocephalus
Auteurs : B. Levander [Suède] ; P. O. Granberg [Suède] ; T. Hindmarsh [Suède]Source :
- Acta Neurochirurgica [ 0001-6268 ] ; 1978-03-01.
Abstract
Summary: A new cerebrospinal fluid (CSF) shunting procedure is presented. By transposing a pedicle graft of the greater omentum to the lumbar CSF compartment, the CSF absorption capacity of the omentum is utilized. The operation is applicable to the treatment of communicating hydrocephalus. The technical problems and physiological effects of the operation have been studied earlier in dogs. This paper presents the first case of an intended clinical series. The patient was studied for 18 months postoperatively by different examinations, including psychometric tests, cisternography, computer tomography, echo-ventriculography, and carotid angiography with measurement of the cerebral blood flow. A gradual improvement in his clinical state was registered after the operation.
Url:
- https://api.istex.fr/document/A29D8F26C9856CC08C4609B1EAF2E7B020E28F86/fulltext/pdf
- https://api.istex.fr/document/EFAEE264E4FFF8B1F6A93422815C9FCADC4B0058/fulltext/pdf
- https://api.istex.fr/document/97E38C1F0C36E9CAF26C8C781749A171CB797E68/fulltext/pdf
DOI: 10.1007/BF01401628
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<front><div type="abstract" xml:lang="en">Summary: A new cerebrospinal fluid (CSF) shunting procedure is presented. By transposing a pedicle graft of the greater omentum to the lumbar CSF compartment, the CSF absorption capacity of the omentum is utilized. The operation is applicable to the treatment of communicating hydrocephalus. The technical problems and physiological effects of the operation have been studied earlier in dogs. This paper presents the first case of an intended clinical series. The patient was studied for 18 months postoperatively by different examinations, including psychometric tests, cisternography, computer tomography, echo-ventriculography, and carotid angiography with measurement of the cerebral blood flow. A gradual improvement in his clinical state was registered after the operation.</div>
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<ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lumbo-omental shunt for drainage of cerebrospinal fluid — an experimental radionuclide study in dogs</title>
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<front><div type="abstract" xml:lang="en">Summary: In a series of dogs, the transport routes of intrathecally administered99TcmDTPA from an omental graft to the venous blood were studied by scintillation probes placed over the portal and external jugular veins and by blood samples from the inferior vena cava. It was found early in the course of investigation that a rich revascularization frequently occurred between the transplanted omentum and the surrounding muscles. In all dogs, the omental graft was divided in its muscle tunnel about 5 cm outside the dural sac, 13–19 months after the implantation. Even after this a rapid transport to the venous system of radionuclide could be demonstrated. The revascularization of the graft was also studied morphologically in two dogs means of microangiography.</div>
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<wicri:regionArea>Division of Experimental Defence Medicine, Research Institute of National Defence</wicri:regionArea>
<wicri:noRegion>Research Institute of National Defence</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey=" Sard, P E" sort=" Sard, P E" uniqKey=" Sard P" first="P. E." last=" Sard">P. E. Sard</name>
<affiliation wicri:level="3"><country>Suède</country>
<placeName><settlement type="city">Stockholm</settlement>
<region nuts="2">Svealand</region>
</placeName>
<wicri:orgArea>Department of Neurosurgery, Karolinska Sjukhuset</wicri:orgArea>
</affiliation>
<affiliation wicri:level="3"><country>Suède</country>
<placeName><settlement type="city">Stockholm</settlement>
<region nuts="2">Svealand</region>
</placeName>
<wicri:orgArea>Department of Medical Physics, Danderyds Sjukhus</wicri:orgArea>
</affiliation>
<affiliation wicri:level="1"><country xml:lang="fr">Suède</country>
<wicri:regionArea>Division of Experimental Defence Medicine, Research Institute of National Defence</wicri:regionArea>
<wicri:noRegion>Research Institute of National Defence</wicri:noRegion>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Acta Neurochirurgica</title>
<title level="j" type="sub">The European Journal of Neurosurgery</title>
<title level="j" type="abbrev">Acta neurochir</title>
<idno type="ISSN">0001-6268</idno>
<idno type="eISSN">0942-0940</idno>
<imprint><publisher>Springer-Verlag</publisher>
<pubPlace>Vienna</pubPlace>
<date type="published" when="1978-03-01">1978-03-01</date>
<biblScope unit="volume">43</biblScope>
<biblScope unit="issue">1-2</biblScope>
<biblScope unit="page" from="1">1</biblScope>
<biblScope unit="page" to="11">11</biblScope>
</imprint>
<idno type="ISSN">0001-6268</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0001-6268</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass></textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Summary: Studies using an experimental cerebrospinal fluid (CSF) shunting procedure are presented. By transposing a pedicle graft of the greater omentum to the lumbar subarachnoid space, the CSF absorption capacity of the omentum can be utilized. Monitoring the absorption of intrathecally administration of169Yb-DTPA by gamma camera sequential pictures 1 to 17 months after the shunt procedure, a rapid transport of radionuclide from the lumbo-omental shunt to the systemic venous blood was demonstrated.</div>
</front>
</TEI>
</ISTEX>
</double>
</record>
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