Shihab Nadia, Davies Emma, Kenny Patrick J, Loderstedt Shenja, Volk Holger A
Department of Veterinary Clinical Sciences, Royal Veterinary College, North Mymms, UK.
Vet Surg. 2011 Jun;40(4):477-84. doi: 10.1111/j.1532-950X.2011.00832.x. Epub 2011 Apr 26.
To report use of ventriculoperitoneal shunt in dogs for management of hydrocephalus for which no cause could be identified.
Case series.
Dogs with hydrocephalus (n=12).
Medical records (June 2003-June 2009) were reviewed to determine preoperative clinical findings, initial postoperative, and long-term outcome. Additional follow-up information was obtained from owners and referring veterinarians.
All dogs had signs of forebrain dysfunction, 7 had vestibular signs and 3 had signs of spinal pain. Postoperative complications included pain (n=4), undershunting because of shunt kinking (n=1) and seizures (n=1). Initial improvement occurred in all dogs and was sustained in 9 dogs, 1 of which required revision surgery.
Sustained clinical improvement can be achieved in hydrocephalus with no active underlying cause by use of ventriculoperitoneal shunting.
报告在无法确定病因的犬脑积水治疗中使用脑室腹腔分流术的情况。
病例系列。
脑积水犬(n = 12)。
回顾医疗记录(2003年6月至2009年6月)以确定术前临床发现、术后初期及长期结果。从犬主和转诊兽医处获取额外的随访信息。
所有犬均有前脑功能障碍体征,7只出现前庭体征,3只出现脊柱疼痛体征。术后并发症包括疼痛(n = 4)、因分流管扭结导致分流不足(n = 1)和癫痫发作(n = 1)。所有犬术后初期均有改善,9只犬的改善得以持续,其中1只需要进行翻修手术。
对于无活动性潜在病因的脑积水,使用脑室腹腔分流术可实现持续的临床改善。