Abstract
Introduction: Although slit ventricle syndrome (SVS) is identified as a serious complication in shunt-treated hydrocephalus, cerebral spinal fluid (CSF) flow via external ventricular drainage (EVD) or shunts in SVS have not been studied up to now.
Material and methods: A new apparatus (LiquoGuard®; Möller-Medical, Fulda, Germany) was used for EVD in a child with SVS. The LiquoGuard actively controls CSF drainage, based on intracranial pressure (ICP).
Results: To achieve well-tolerated clinical conditions, an ICP level of 4 mmHg was necessary; realizable by drainage rates between 0 and 35 mL/h. Drainage rate variations typically occurred with repetitive time intervals of 2 h causing a “saw tooth” shaped CSF flow pattern throughout 24 h.
Discussion: SVS seems to be characterized largely by quickly varying CSF drainage demands. Whether this is a general phenomenon or just true for this case has still to be studied and needs further clarification.
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Conflicts of interest statement
This scientific work has been sponsored in part by a grant from the German Federal Ministry of Education and Research (BMBF). R.E. and M.K. have received some financial support in the past for other research work, from Raumedic AG (Helmbrechts, Germany). Further they have received honoraria and financial support for attending scientific congresses, from Codman & Shurtleff Inc. (Raynham, MA, USA), a division of Ethicon (Somerville, NJ, USA) and Johnson & Johnson (New Brunswick, NJ, USA) and Aesculap AG (Tuttlingen, Germany),a division of B. Braun Melsungen AG (Melsungen, Germany). M.S. and S.A. have received financial support for educational purposes from Codman & Shurtleff Inc. (Raynham, MA, USA), a division of Ethicon (Somerville, NJ, USA) and Johnson & Johnson (New Brunswick, NJ, USA) and Aesculap AG (Tuttlingen, Germany), a division of B. Braun Melsungen AG (Melsungen, Germany).
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Eymann, R., Schmitt, M., Antes, S., Shamdeen, M.G., Kiefer, M. (2012). Dynamics of Cerebrospinal Fluid Flow in Slit Ventricle Syndrome. In: Aygok, G., Rekate, H. (eds) Hydrocephalus. Acta Neurochirurgica Supplementum, vol 113. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0923-6_36
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