Khan Arshad Ali, Jabbar Abdul, Banerjee Ashis, Hinchley Geoff
Emergency Department, Chase Farm Hospital, Enfield.
Br J Hosp Med (Lond). 2007 Dec;68(12):651-5. doi: 10.12968/hmed.2007.68.12.651.
Indwelling shunts to divert CSF flow are essential in treating hydrocephalus. There is a high incidence of shunt malfunction, which accounts for the increasing popularity of endoscopic third ventriculostomy. Failure to recognize and act on symptoms and signs of shunt malfunction may lead to loss of life or to permanent neurological dysfunction. This review provides the basis for assessment and management based on updated clinical knowledge.
用于分流脑脊液的留置分流管在治疗脑积水方面至关重要。分流管故障的发生率很高,这也是内镜下第三脑室造瘘术越来越受欢迎的原因。未能识别分流管故障的症状和体征并采取相应措施可能会导致死亡或永久性神经功能障碍。本综述基于最新的临床知识为评估和管理提供了依据。