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Child's Nervous System

, Volume 2, Issue 3, pp 139–143 | Cite as

The value of CSF flow studies in infants with communicating hydrocephalus

  • Francesco Velardi
  • Harold J. Hoffman
  • Judith M. Ash
  • E. Bruce Hendrick
  • Robin P. Humphreys
Original Papers

Abstract

The authors describe their technique of dynamic CSF scanning utilizing the radionucleide 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.

Key words

CSF scan Hydrocephalus Intraventricular hemorrhage Macrocephaly Prematurity 

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References

  1. 1.
    Andersson H, Elfverson J, Svendsen P (1984) External hydrocephalus in infants. Child's Brain 11:398–402PubMedGoogle Scholar
  2. 2.
    Bannister R, Gilford E, Kocen R (1967) Isotope encephalography in the diagnosis of dementia due to communicating hydrocephalus. Lancet II:1014–1017CrossRefGoogle Scholar
  3. 3.
    DeMyer W (1972) Megalencephaly in children. Clinical syndromes, genetic patterns, and differential diagnosis from other causes of megalocephaly. Neurology 22:634–643CrossRefGoogle Scholar
  4. 4.
    DiChiro G, Reames PM, Matthews WB (1964) RISA-cisternography. Neurology 14:185–191CrossRefGoogle Scholar
  5. 5.
    Foltz EL, Shurtleff DB (1966) Convesion of communicating hydrocephalus to stenosis or occlusion of the aqueduct during ventricular shunt. J Neurosurg 24:520–529CrossRefGoogle Scholar
  6. 6.
    Hoffman HJ, Hendrick EB, Humphreys RP (1982) Management of hydrocephalus. Monogr Neurol Sci 8:21–25Google Scholar
  7. 7.
    Heller RM, James AE (1972) Clinical applications of cisternography in the pediatric age group. AJR 116:590–597CrossRefGoogle Scholar
  8. 8.
    James AE, New PFJ, Heinz ER, Hodges FJ, DeLand FH (1972) A cisternographic classification of hydrocephalus. AJR 115:39–49CrossRefGoogle Scholar
  9. 9.
    Keyes JW Jr, Donn SM, Roloff DW, Meyers LJ (1983) Radionuclide cisternography in the preterm neonate. Clin Nucl Med 8:465–468CrossRefGoogle Scholar
  10. 10.
    Kolberg T, Palma A (1977) New aspects of cerebrospinal fluid dynamics in humans investigated by sequential gamma camera cisternography, with data evaluation by the digital multichannel analyzer. Acta Neurochir (Wien) 38:1–12CrossRefGoogle Scholar
  11. 11.
    McCullough DC, Luessenhop AJ (1969) Evaluation of photo-scanning of the diffusion of intrathecal RISA in infantile and childhood hydrocephalus. J Neurosurg 30:673–678CrossRefGoogle Scholar
  12. 12.
    McCullough DC, Harbert JG, DiChiro G, Ommaya AK (1970) Prognostic criteria for cerebrospinal fluid shunting from isitope cisternography in communicating hydrocephalus. Neurology 20:594–598CrossRefGoogle Scholar
  13. 13.
    McCullough DC, Harbert JC, Miale A, Landis GA, DeBlanc HJ Jr (1972) Radioisotope cisternography in the evaluation of hydrocephalus in infancy and childhood. Radiology 102:645–652CrossRefGoogle Scholar
  14. 14.
    Ment LR, Duncan CC, Geehr R (1981) Benign enlargement of the subarachnoid spaces in the infant. J Neurosurg 54:504–508CrossRefGoogle Scholar
  15. 15.
    Mori K, Handa H, Itoh M, Okuno T (1980) Benign subdural effusions in infants. J Comput Assist Tomogr 4:466–471CrossRefGoogle Scholar
  16. 16.
    Orrison WW, Robertson WC, Sackett JF (1978) Computerized tomography in chronic subdural hematomas (effusions) in infancy. Neuroradiology 16:79–81CrossRefGoogle Scholar
  17. 17.
    Ouvrier RA, Freeman JM, McKhann GM (1974) The value of cerebrospinal fluid imaging in pediatrics. In: James AE Jr, Wagner HM, Cooke RF (eds) Pediatric nuclear medicine. Saunders, Philadelphia, pp 170–179Google Scholar
  18. 18.
    Papile L, Burstein J, Burstein R, Koffler H (1978) Incidence and evaluation of subependymal and intraventricular hemorrhage: a study of infants with birth weights less than 1,500 gm. J Pediatr 92:529CrossRefGoogle Scholar
  19. 19.
    Pettit RE, Kilroy AW, Allen JH (1980) Macrocephaly with head growth parallel to normal growth pattern. Neurological, developmental and computerized tomography findings in full-term infants. Arch Neurol 37:518–521CrossRefGoogle Scholar
  20. 20.
    Robertson WC Jr, Gomez MR (1978) External hydrocephalus. Early finding in congenital communicating hydrocephalus. Arch Neurol 35:541–544CrossRefGoogle Scholar
  21. 21.
    Robertson WC Jr, Chun RWM, Orrison WW, Sackett JF (1979) Benign subdural collections of infancy. J Pediatr 94:382–385CrossRefGoogle Scholar
  22. 22.
    Sahar A (1978) Pseudohydrocephalus-megalocephaly, increased intracranial pressure and widened subarachnoid space. Neuropädiatrie 9:131–139CrossRefGoogle Scholar
  23. 23.
    Tator CH, Fleming FR, Sheppard RH, Turner VM (1968) A radioisotopic test for communicating hydrocephalus. J Neurosurg 28:327–340CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • Francesco Velardi
    • 1
  • Harold J. Hoffman
    • 2
  • Judith M. Ash
    • 3
  • E. Bruce Hendrick
    • 2
  • Robin P. Humphreys
    • 2
  1. 1.Division of NeurosurgeryUniversità Cattolica del Sacro CuoreRomeItaly
  2. 2.Division of NeurosurgeryUniversity of Toronto and The Hospital for Sick ChildrenTorontoCanada
  3. 3.Division of Nuclear MedicineUniversity of Toronto and The Hospital for Sick ChildrenTorontoCanada

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