Al-Anazi Abdulrahman, Al-Mejhim Fatheya, Al-Qahtani Noora
Department of Neurosurgery, King Fahad Hospital, King Faisal University, P. O. Box 40010, Al-Khobar, 31952, Saudi Arabia.
Childs Nerv Syst. 2008 Feb;24(2):193-5. doi: 10.1007/s00381-007-0451-1. Epub 2007 Sep 18.
Hydrocephalus is one of the most common congenital anomalies affecting the central nervous system especially in developing countries for several reasons including prohibition of abortion in many countries. The technological advances in methods of intrauterine diagnosis of congenital malformation made it possible to detect early enlargement of the ventricles and diagnose hydrocephalus as early as 15 weeks of gestational age. Many trials of intrauterine shunting proved unsuccessful, mainly because of complications such as intra- or extracranial shunt migration, obstruction, infection, and malposition.
The author is presenting a case of a successful ventriculo-amniotic shunt utilizing Al-Anazi ventriculo-uterine shunt, which is easy to implant. It has a one-way valve to prevent amniotic fluid backflow and special wings to prevent shunt migration, which are both relatively short and wide to reduce the possibility of malfunction and the risk of infection because there is no exposure with the external environment.
Our successful trial showed that Al-Anazi ventriculo-uterine shunt might be the first step in treating congenital hydrocephalus.
脑积水是影响中枢神经系统的最常见先天性异常之一，在发展中国家尤为如此，原因有多种，包括许多国家禁止堕胎。先天性畸形宫内诊断方法的技术进步使得能够检测到脑室早期扩大，并早在孕15周时诊断出脑积水。许多宫内分流术试验都证明不成功，主要是因为出现了诸如颅内或颅外分流移位、梗阻、感染和位置不当等并发症。
作者介绍了一例使用易于植入的Al - Anazi脑室 - 子宫分流术成功进行脑室 - 羊膜分流的病例。它有一个单向阀以防止羊水回流，还有特殊的侧翼以防止分流移位，侧翼相对短而宽，可降低故障可能性和感染风险，因为它不与外部环境接触。
我们的成功试验表明，Al - Anazi脑室 - 子宫分流术可能是治疗先天性脑积水的第一步。
