Lundar T, Nakstad P
Nevrokirurgisk avdeling, Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 1990 Feb 20;110(5):584-6.
Arne Torkildsen performed the first ventriculocisternostomy in 1937. During the last 25 years hydrocephalic patients have been treated with standard ventriculoatrial or ventriculoperitoneal shunts. Since pneumoencephalography and ventriculography, have been replaced by CT scanning, often no differentiation is made between communicating and non-communicating hydrocephalus. Today we realize that most shunted individuals become shunt-dependent for the rest of their lives. During a two year period we performed eight ventriculocisternostomies after aqueduct obstruction had been proven by ventriculography or by combined CT and magnetic resonance studies. In five of the patients this gave a satisfactory long term result. Since this procedure does not lead to serious cardiopulmonary complications nor overdrainage, the Torkildsen procedure is still a good alternative to ventriculoperitoneal or ventriculoatrial shunts in patients with proven non-communicating hydrocephalus.
1937年，阿恩·托尔基尔德森进行了首例脑室脑池造瘘术。在过去25年里，脑积水患者一直采用标准的脑室心房或脑室腹腔分流术进行治疗。自从气脑造影术和脑室造影术被CT扫描取代后，通常不再区分交通性脑积水和非交通性脑积水。如今我们认识到，大多数接受分流术的患者在余生都依赖分流装置。在两年时间里，我们在经脑室造影或CT与磁共振联合检查证实存在导水管梗阻后，进行了8例脑室脑池造瘘术。其中5例患者获得了满意的长期效果。由于该手术不会导致严重的心肺并发症，也不会出现过度引流，对于已证实为非交通性脑积水的患者，托尔基尔德森手术仍是脑室腹腔或脑室心房分流术的良好替代方案。
