1.Risk Factors of Ventriculitis Following Ventriculostomy.
Ki Bum SIM ; Chun Kee CHUNG ; Dong Gyn KIM ; Dae Hee HAN
Journal of Korean Neurosurgical Society 1994;23(5):553-560
No abstract available.
Risk Factors*
;
Ventriculostomy*
2.Endoscopic Third Ventriculostomy for Adult Aqueduct Stenosis: Double Fenestration: A Case Report and Technical Note.
Yong Jin SHIM ; Ho Gyun HA ; Ho JUNG ; Yong Seog KIM ; Moon Sun PARK
Journal of Korean Neurosurgical Society 2000;29(8):1019-1023
No abstract available.
Adult*
;
Constriction, Pathologic*
;
Humans
;
Ventriculostomy*
3.Fatal otitic hydrocephalus due to sinus thrombosis: A case report
Claudette Gloria T. Plumo ; Emmanuel Tadeus S. Cruz
Philippine Journal of Otolaryngology Head and Neck Surgery 2022;37(1):38-42
Objective:
To report a case of chronic suppurative otitis media with complications of lateral sinus thrombosis and otitic hydrocephalus and to discuss its clinical manifestations, clinical course, ancillary procedures and management.
Methods:
Study Design: Case Report.
Setting: Tertiary Government Training Hospital.
Patient: One.
Results:
A 35-year-old man was admitted due to intermittent right otorrhea for 20 years and headache for a month. The Glasgow Coma Scale (GCS) score was 12, and mastoidectomy performed on the second hospital day showed cholesteatoma with erosion of the bony covering of the sigmoid sinus with scanty purulent discharge. The GCS improved to 15 few hours post- operatively, however, 24 hours post-operatively, GCS decreased from 15 to 10 and a CT scan showed dilatation of cerebral ventricles and lateral sinus thrombosis which persisted on subsequent imaging studies. His condition deteriorated irreversibly despite a ventriculostomy, and he eventually expired after 3 weeks in the ward.
Conclusion
Otitic hydrocephalus due to lateral sinus thrombosis is a serious complication of chronic suppurative otitis media seldom encountered nowadays. In this case, otitic hydrocephalus developed and progressed despite broad spectrum antibiotics, mastoidectomy and a ventricular shunt. This case report underscores the importance of early recognition of warning signs of intracranial complications to institute prompt management.
Lateral Sinus Thrombosis
;
Mastoidectomy
;
Ventriculostomy
4.Endoscopic Third Ventriculostomy: Success and Failure.
Chandrashekhar E DEOPUJARI ; Vikram S KARMARKAR ; Salman T SHAIKH
Journal of Korean Neurosurgical Society 2017;60(3):306-314
Endoscopic third ventriculostomy (ETV) has now become an accepted mode of hydrocephalus treatment in children. Varying degrees of success for the procedure have been reported depending on the type and etiology of hydrocephalus, age of the patient and certain technical parameters. Review of these factors for predictability of success, complications and validation of success score is presented.
Cerebrospinal Fluid Shunts
;
Child
;
Humans
;
Hydrocephalus
;
Ventriculostomy*
5.External Ventricular Drainage System with Long Subcutaneous Tunnel.
Chang Wook HUR ; Seong Ho KIM ; Sang Woo KIM ; Chul Hun CHANG ; Byung Yon CHOI ; Soo Ho CHO
Journal of Korean Neurosurgical Society 2004;35(1):88-90
OBJECTIVE: The goal of this study is to introduce a new method of external ventricular drainage system to reduce the complications of infections by making a long subcutaneous tunnel. METHODS: Between January 2002 and March 2003, 59 cases of ventriculostomy including 44 cases of short subcutaneous tunnel and 15 cases of long subcutaneous tunnel were performed and analysed. Subarachnoid hemorrhage and intraventricular hemorrhage were major indications for ventriculostomy. RESULTS: No infection was noted in the group of 15 patients with long subcutaneous tunnel. Whereas, 6 cases(13.6%) of infection was diagnosed in the group of 44 patients with short subcutaneous tunnel. The ventriculostomy was kept maximally for 11(mean 7.4)days without infection in the patients with long subcutaneous tunnel. CONCLUSION: To reduce the infection as a complication of ventriculostomy, we devise a new drainage system that involves the long subcutaneous tunnel.
Drainage*
;
Hemorrhage
;
Humans
;
Subarachnoid Hemorrhage
;
Ventriculostomy
6.Prevention of Complications in Endoscopic Third Ventriculostomy.
Tae Young JUNG ; Sangjoon CHONG ; In Young KIM ; Ji Yeoun LEE ; Ji Hoon PHI ; Seung Ki KIM ; Jae Hyoo KIM ; Kyu Chang WANG
Journal of Korean Neurosurgical Society 2017;60(3):282-288
A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overall rate of permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid these serious complications, we should keep in mind potential complications and how to prevent them. Proper decisions with regard to surgical indication, choice of endoscopic entry and trajectory, careful endoscopic procedures with anatomic orientation, bleeding control and tight closure are emphasized for the prevention of complications.
Cerebrospinal Fluid Leak
;
Fever
;
Hemodynamics
;
Hemorrhage
;
Mortality
;
Neuroendoscopy
;
Ventriculostomy*
7.Central hyperventilation syndrome due to massive pneumocephalus after endoscopic third ventriculostomy: a case report.
Euiseok PARK ; Heezoo KIM ; Byung Gun LIM ; Dong Kyu LEE ; Dongik CHUNG
Korean Journal of Anesthesiology 2016;69(4):409-412
Pneumocephalus is common after brain surgeries, but usually is not substantial enough to cause serious complications. We recently encountered a case of post-operative tachypnea after an endoscopic 3rd ventriculostomy. At first, we thought that the hyperventilation was the result of residual paralysis after emergence from anesthesia, but during further evaluation we found a massive pneumocephalus. In such unusual post-operative situations, physicians should consider surgery-related complications as the possible cause as well, along with the anesthetic factors.
Anesthesia
;
Brain
;
Hyperventilation*
;
Paralysis
;
Pneumocephalus*
;
Postoperative Care
;
Tachypnea
;
Ventriculostomy*
8.A Case of Chiari III Malformation.
Eun Young CHO ; Jong Joo LEE ; Jae Woo LIM ; Eun Jung CHOEN ; Kyoung Og KO ; Young Hyuk LEE
Journal of the Korean Child Neurology Society 2005;13(2):282-287
Chiari malformations are brain stem anomalies with or without spinal canal involvement. Type III is the rarest of the Chiari malformations and is characterized by a low occipital or high cervical encephalocele in combination with multiple cerebellar and brain stem anomalies. We report a case of Chiari III malformation of a newborn, who underwent repair of occipital meningoencephalocele and endoscopic third ventriculostomy. We present the case with a review of related literature.
Brain Stem
;
Encephalocele
;
Humans
;
Infant, Newborn
;
Spinal Canal
;
Ventriculostomy
9.Cine MR CSF Flow Study in Hydrocephalus: What are the Valuable Parameters?.
Hye Young CHOI ; Myung Hyun KIM
Journal of the Korean Radiological Society 1997;37(3):415-422
PURPOSE: To evaluate the changes in diagnosis of intracranial cerebrospinal fluid (CSF) dynamics in the hydrocephalus, we studied the various parameters of cine phase contrast (PC) magnetic resonance (MR) CSF flow images in cases of acutely progressive hydrocephalus, comparing them with those in normal CSF circulation. MATERIALS AND METHODS: The MR images were obtained with a 1.5T (GE Signa, GE Medical Systems, Milwaukee, USA) unit using the 2 dimensional cine PC sequence with cardiac gating and gradient recalled echo imaging in ten cases of non-obstructive hydrocephalus (NOH), three of obstructive hydrocephalus (OH), and ten controls. The time-echo time-flip angle employed were 50 to 80 msec - 11 to 15 msec - 12 to 15 degrees. Temporal velocity information relating to cervical pericord CSF spaces, third and fourth ventricles, and the aqueduct were plotted as wave forms which were then analyzed for configuration, amplitude parameters (Vmax, Vmin, Vdif), and temporal parameters (R-S, R-SMV, R-D, R-DMV). The statistical significance of each parameter was examined using the paired t-test. All patients with OH underwent endoscopic third ventriculostomy, whereas all with NOH underwent shunting procedures. RESULTS: In five ROIs, distinct reproducible configuration features were obtained at aqueduct and cervical pericord spaces, but not at ventricular levels. We determined the statistically significant differences between controls and hydrocephalus patients using temporal, rather than amplitude parameters. In NOH, the graph showed R-DMV shortening (p<0.01) at the anterior cervical pericord space. In OH, there were R-DMV shortening (p<0.05) was seen at the anterior cervical pericord space, and R-DMV shortening (p<0.02) at the posterior cervical pericord space. In one case of OH, a typical change of configuration, mirror image, was obtained at aqueduct level, and in all OH cases, the level of obstruction could be determined. CONCLUSION: The results of cine PC MR CSF flow study may be valuable for points for determining the level of obstruction, explaining the cause of hydrocephalus, diagnosing OH, and deciding the need for shunting procedures; decisions would be based on an analysis of in vivo images, curve configuration, and phase shift of the velocity curve. In the diagnosis of acutely progressive hydrocephalus, termporal parameters are nore important than those relating to amplitude. Among the former, R-DMV and/or R-SMV may be the most valuable.
Cerebrospinal Fluid
;
Diagnosis
;
Fourth Ventricle
;
Humans
;
Hydrocephalus*
;
Ventriculostomy
10.CSF Flow Image Using Phase-Contrast Cine MR Technique: Preliminary Clinical Application.
Hyae Young KIM ; Hye Young CHOI ; Seung Yeon BAEK ; Sun Wha LEE ; Eun Joo KO ; Myung Sook LEE
Journal of the Korean Radiological Society 1997;36(3):361-367
PURPOSE: To evaluate the clinical usefulness of 2-D Cine PC (phase contrast) technique in visualizing the pattern and the site of abnormal CSF flow and to assess the effect of a third ventriculostomy in patients with hydrocephalus. MATERIALS AND METHODS: The study group consisted of three normal controls and 13 patients with hydrocephalus, as shown on CT or MRI, and two patients who had undergone their third ventriculostomy. The technique was EKG-gated 2-D Cine PC MRI with velocity encoding 5cm/sec, TR 80msec, TE 12.3-15msec, and flip angle 15-60 degrees. Image quality was analyzed for variable sequences, and CSF flow was observed along the CSF flow pathway. We analyzed continuity and intensity of the CSF flow signal, and obstruction site and flow velocity degree were then defined. RESULTS: Systolic high and diastolic low signal intensity along the CSF flow-pathway, with normal asynchronicity and continuation, were clearly seen in normal controls. In three patients, there was obstruction at the ventricular level while others were either normal or showed a normal pattern with a weak signal. 'Normal' was defined as noncommunicating hydrocephalus and the latter as communicating hydrocephalus. In the two patients who had undergone ventriculostomy, a signal was in one case detected at the site of the third operation. CONCLUSION: A 2-D Cine PC CSF flow study enables us to see CSF flow signals noninvasively and to detect the site of obstruction of a CSF flow-pathway. It can therefore be useful for determining the application of a ventriculoperitoneal shunt and assessing the effect of a third ventriculostomy.
Humans
;
Hydrocephalus
;
Magnetic Resonance Imaging
;
Ventriculoperitoneal Shunt
;
Ventriculostomy