Complications Following Ventriculo-Cisternal Shunts
Ventriculo-cisternostomy, introduced by TORKILDSEN in 1939 (8) for the treatment of occlusive hydrocephalus, has been used as a final treatment in patients with nontumorous occlusive hydrocephalus and as a palliative operation in cases with surgically inaccessible deep-seated tumors producing occlusion of CSF pathways within the ventricular system. Since the introduction of ventriculo-atrial and ventriculo-peritoneal shunts, particularly since the beginning of the 1960’s, the number of Torkildsen operations performed in neurosurgical centers has diminished and some neurosurgeons have almost completely abandoned the procedure. Major reviews dealing with indications and results were reported by GERLACH, who analysed 931 patients operated on in the Departments of Neurosurgery in Germany till 1960 (1), GRÖSCHEL and MARGUTH, who reported on 155 patients operated on between 1951 and 1959 (2), and LANG and P1A (3). Complications of the procedure were reviewed by LORENZ in 1963 (4).
KeywordsLumbar Puncture Aqueduct Stenosis Cervical Spinal Canal Neurosurgical Center Thalamic Tumor
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