Radioisotope Cisternography in the Evaluation of Hydrocephalus in Infancy and Childhood

McCullough, David C.; Harbert, John C.; Miale, August; Landis, Glen A.; DeBlanc, Harold J.

doi:10.1148/102.3.645

Cited by 9 publications

(2 citation statements)

References 6 publications

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“…Cytological studies for fat laden macrophages may signify brain damage after meningitis [3], but have not been useful in estimating progressive brain damage in hydrocephalus [17], Radionuclide cisternography and ventriculography were performed for screening purposes and prognostic investigation of pediatric hydrocephalus in a number of clinics prior to the introduction of CT. The predictive value of cisternography in infants [15] achieves a better record than continuous ICP monitoring, at less costs and less potential risk. In older children the efficiency of cisternography may be more suspect if one considers the results in adult NPH [14].…”

Section: Discussionmentioning

confidence: 99%

“…In Table I. A list of laboratory tests in hydrocephalus Radiographic procedures CT scan Arteriogram Air contrast Positive contrast VSD, brain 'mass' from radiography (27) Cerebrospinal fluid procedures Radionuclide scan (15) Subarachnoid infusion (II) Ventricular infusion (28) Ventricular perfusion Intracranial pressure monitoring Pressure-volume indices (20) Cytology -fat stains (3) Biochemical analyses…”

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A Critical Evaluation of Continuous Intracranial Pressure Monitoring in Pediatric Hydrocephalus

McCullough¹

1980

Pediatr Neurosurg

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An evaluation of continuous intracranial pressure (ICP) monitoring in 42 hydrocephalic infants and children helps to establish the role of this method in comparison with other clinical techniques for estimating the occurrence of progressive hydrocephalus. Transducer monitoring via ventricular catheters in term and premature infants revealed average ICP in the 5–12 mm Hg range. The higher values were recorded from patients with noncommunicating hydrocephalus but did not correlate with the extent of ventriculomegaly. The method has very little predictive value in estimating the progressive nature of infantile hydrocephalus. In older children ICP monitoring provides a useful adjunct in decisions for shunting after intracranial surgery and in suspected ‘normal pressure’ hydrocephalus. Monitoring from shunt reservoirs in cases of suspected shunt obstruction, although accurate in most situations, is probably inferior to clinical examination and serial computed tomography considering the expense and the risk of introducing shunt sepsis.

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Section: Discussionmentioning

confidence: 99%

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A Critical Evaluation of Continuous Intracranial Pressure Monitoring in Pediatric Hydrocephalus

McCullough¹

1980

Pediatr Neurosurg

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Liquorraumszintigraphie — konventionell/SPECT: Vergleich mit cCT und MRT

Kaiser¹

1995

Single-Photon-Emissions-Computertomographie (SPECT) Des Gehirns

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The value of CSF flow studies in infants with communicating hydrocephalus

Velardi

et al. 1986

Child's Nerv Syst

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The authors describe their technique of dynamic CSF scanning utilizing the radionuclide material Tc-99m diethylentriamine-pentacetic acid (DTPA). Thirty-four infants with macrocephaly and enlarged intracranial CSF spaces were investigated with this technique. The resulting studies were graded according to severity. The grading scheme was of value in determining which patients would benefit from a CSF diversionary shunt.

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Radioisotope Cisternography in the Evaluation of Hydrocephalus in Infancy and Childhood

Cited by 9 publications

References 6 publications

A Critical Evaluation of Continuous Intracranial Pressure Monitoring in Pediatric Hydrocephalus

A Critical Evaluation of Continuous Intracranial Pressure Monitoring in Pediatric Hydrocephalus

Liquorraumszintigraphie — konventionell/SPECT: Vergleich mit cCT und MRT

The value of CSF flow studies in infants with communicating hydrocephalus

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