el-Shafei I, Hafez M A
Department of Neurosurgery, Manial University Hospital, Cairo University, Egypt.
Childs Nerv Syst. 1991 Aug;7(4):197-204. doi: 10.1007/BF00249395.
During evolution of the surgical procedure to implant ventriculojugular (VJ) shunts against the direction of blood flow for the treatment of hydrocephalus, various modifications were made in the shunting catheter and in the implantation technique with the aim of improving the results. Shunt implantation was difficult in infants and young children with compressible craniums and the modifications failed to improve the results. Accordingly, they were not considered suitable for this method of cerebrospinal fluid (CSF) shunting. Our present policy is to implant VJ shunts in hydrocephalic patients with rigid craniums and ventriculoperitoneal (VP) shunts in infants and young children to tide them over a period until they become suitable for VJ shunting. During the past 5 years, 110 hydrocephalic patients with rigid craniums were treated by implanting VJ shunts without need for further modifications. The shunt was revised in one patient during the early postoperative period due to CSF leakage under the scalp. There were no complications related to CSF overdrainage in any of the cases.
在植入脑室颈静脉（VJ）分流管以逆血流方向治疗脑积水的手术过程演变中，分流导管和植入技术进行了各种改进，目的是改善治疗效果。对于颅骨可压缩的婴幼儿，分流管植入困难，而这些改进未能改善治疗效果。因此，它们被认为不适合这种脑脊液（CSF）分流方法。我们目前的策略是，为颅骨坚硬的脑积水患者植入VJ分流管，为婴幼儿植入脑室腹腔（VP）分流管，以使他们度过一段时间，直到适合进行VJ分流。在过去5年中，110例颅骨坚硬的脑积水患者接受了VJ分流管植入治疗，无需进一步改进。1例患者在术后早期因头皮下脑脊液漏而对分流管进行了修订。所有病例均无与脑脊液过度引流相关的并发症。
