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Section 4 - Treatment and outcomes

Published online by Cambridge University Press:  05 February 2014

Daniele Rigamonti
Affiliation:
The Johns Hopkins University School of Medicine
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Summary

This chapter describes many of the techniques and protocols that can be used to minimize the risk of shunt failure, focusing on the surgical procedure at each anatomic location for proximal and distal catheter placement. It includes the extended discussions of ventricular and lumbar proximal catheters, and peritoneal, atrial, pleural, and other distal catheters. Valves can be divided into four different categories: differential pressure valves, flow-regulated valves, antisiphon valves, and adjustable valves. Antisiphon valves are used to prevent the siphoning of cerebrospinal fluid (CSF) into the distal compartment. Antisiphon devices (ASDs) are primarily used in management of normal pressure hydrocephalus (NPH) patients in the adult population to prevent the formation of subdural hematomas and hygromas, and in the management of hydrocephalus in the pediatric population to prevent the slit ventricle syndrome and proximal catheter obstruction.
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Chapter
Information
Adult Hydrocephalus , pp. 175 - 246
Publisher: Cambridge University Press
Print publication year: 2014

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  • Treatment and outcomes
  • Edited by Daniele Rigamonti, The Johns Hopkins University School of Medicine
  • Book: Adult Hydrocephalus
  • Online publication: 05 February 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781139382816.017
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  • Treatment and outcomes
  • Edited by Daniele Rigamonti, The Johns Hopkins University School of Medicine
  • Book: Adult Hydrocephalus
  • Online publication: 05 February 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781139382816.017
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Treatment and outcomes
  • Edited by Daniele Rigamonti, The Johns Hopkins University School of Medicine
  • Book: Adult Hydrocephalus
  • Online publication: 05 February 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781139382816.017
Available formats
×