Procházková V, Kostková H, Bret J
Cesk Neurol Neurochir. 1989 Mar;52(2):148-52.
The author describes 11 cases of adult hydrocephalus based on stenosis of the aqueduct of Sylvius. She describes clinical manifestations and diagnostic possibilities. CT examination and positive VG are most useful for the diagnosis. Clinical signs of rising intracranial pressure, considerable narrowing of or absence of the filling of the aqueduct and hydrocephalus are in the author's opinion the most important criteria of operation. Recanalization of the aqueduct of Sylvius by a drainage tube according to Bret is the optimal surgical approach.
作者描述了11例基于中脑导水管狭窄的成人脑积水病例。她阐述了临床表现及诊断方法。CT检查和阳性脑室造影对诊断最为有用。作者认为颅内压升高的临床体征、导水管明显狭窄或不显影以及脑积水是手术的最重要标准。按照布雷特的方法，用引流管使中脑导水管再通是最佳手术方式。
