Ros Bienvenido, Iglesias Sara, Martín Álvaro, Carrasco Antonio, Ibáñez Guillermo, Arráez Miguel A
Pediatric Neurosurgery Section, Department of Neurosurgery, Regional University Hospital, Malaga, Spain.
Department of Neurosurgery, Regional University Hospital, Malaga, Spain.
Neurosurg Rev. 2018 Oct;41(4):969-981. doi: 10.1007/s10143-017-0849-5. Epub 2017 Mar 29.
Shunt overdrainage in patients with hydrocephalus still represents a challenge for neurosurgeons, in part due to the lack of agreement or uniformity concerning the entity. Important problems exist relating to the real incidence of the entity, its definition, classification, and the pathophysiological theories behind the various treatment strategies proposed. Recent reports have suggested that the evidence about overdrainage and its consequences is not so robust as presumed. Consequently, the topic requires more detailed examination. In this review, we comment on all the main facets related with shunt overdrainage.
脑积水患者的分流过度引流对神经外科医生来说仍然是一项挑战，部分原因是对于该病症缺乏共识或统一认识。在实际发病率、定义、分类以及所提出的各种治疗策略背后的病理生理理论等方面存在重要问题。最近的报告表明，关于过度引流及其后果的证据并不像人们认为的那么确凿。因此，这个话题需要更详细的研究。在这篇综述中，我们对与分流过度引流相关的所有主要方面进行评论。
