Langkowski J H, Palmié S G, von Koschitzky H, Imme M, Maas R, Schmidt K H, Heller M
Radiologische Klinik des UKE, Abt. Röntgendiagnostik, Philips GmbH Forschungslaboratorium, Hamburg.
Rofo. 1989 Feb;150(2):125-9. doi: 10.1055/s-2008-1046990.
For patients with communicating hydrocephalus the implantation of a cardioventricular shunt is mostly an approved therapy. However, indications are frequently problematic and therefore a shunt operation will not be always successful. The proof of periventricular oedemas in addition to clinical signs seems to be a criterion for an indication for implantation and for the selection of a special valve. With the aid of a newly developed computer programme volume estimation of the ventricular system and the periventricular oedemas has been effected for six patients on T2-weighted MR-tomograms (1.5 tesla). Quotients of the different volumes are correlated with cerebrospinal fluid (CSF) pressure obtained during shunt implantation or lumbar measurement. Distinct indications have been found for a correlation between the volume of the periventricular oedemas and the pressure measurements.
对于交通性脑积水患者，植入脑室分流管大多是一种被认可的治疗方法。然而，适应症常常存在问题，因此分流手术并不总是能成功。除临床症状外，脑室周围水肿的证据似乎是植入适应症及选择特殊瓣膜的一个标准。借助一个新开发的计算机程序，对6例患者的T2加权磁共振断层扫描（1.5特斯拉）图像进行了脑室系统及脑室周围水肿的容积估算。不同容积的商与分流植入过程中或腰椎测量时获得的脑脊液（CSF）压力相关。已发现脑室周围水肿容积与压力测量之间存在明显的相关性指征。
