Indications and Experiences with the Ommaya-Reservoir for Treatment of CNS Neoplasms in Childhood

  • K. Roosen
  • W. Havers
  • J. Schaaf

Abstract

The following case history demonstrates in an exemplary manner the advantages and disadvantages of the CSF-reservoir system published by Ommaya in 1963 [8]:
  • In 1974, an 11-year-old girl, suffering from acute lymphatic leukaemia (ALL), developed a symptomatic, non-resorptive, communicating hydrocephalus. A ventriculo-atrial CSF-drain-age-system (PHD) had to be inserted. During the following 36 months 13 recurrences of the leukaemic meningiosis were treated with Methotrexate and Cytosinarabinoside, administered intrathecally. The cytostatic drugs were injected into the frontal subcutaneous pump-device of the PHD.

  • After 86 punctures an infection with Staphylococcus epidermidis occurred. After treat­ment of the bacterial meningitis implantation of a contralateral Ommaya-System (O. S.). Because of left-sided focal Jacksonian epilepsy the position of the Ommaya device was corrected. Until the child’s death 11 months later intrathecal cytostatic therapy with a total of 59 punc­tures was well tolerated without any complications.

Keywords

Catheter Lymphoma Leukemia Sarcoma Methotrexate 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • K. Roosen
  • W. Havers
  • J. Schaaf

There are no affiliations available

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