Norkett William, McLone David G, Bowman Robin
Ann and Robert H. Lurie Children's Hospital of Chicago.
Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Top Spinal Cord Inj Rehabil. 2016 Fall;22(4):241-246. doi: 10.1310/sci2204-241.
Symptomatic hydrocephalus is a common condition associated with myelomeningocele (open spina bifida). Traditionally, hydrocephalus was treated with insertion of a ventriculo-peritoneal (VP) shunt. This has been the standard of treatment since the introduction of the Holter shunt valve for the VP shunt in the late 1950s. Now there are other treatments that offer alternatives to VP shunt diversion for hydrocephalus. This article is a review of hydrocephalus associated with myelomeningocele and its treatment options. Treatment in the form of a VP shunt, endoscopic third ventriculostomy (ETV), and conservative management are discussed.
症状性脑积水是一种与脊髓脊膜膨出（开放性脊柱裂）相关的常见病症。传统上，脑积水通过插入脑室-腹腔（VP）分流管进行治疗。自20世纪50年代末Holter分流阀用于VP分流以来，这一直是治疗的标准方法。现在有其他治疗方法可为脑积水的VP分流引流提供替代方案。本文是对与脊髓脊膜膨出相关的脑积水及其治疗选择的综述。讨论了VP分流、内镜下第三脑室造瘘术（ETV）和保守治疗等形式的治疗方法。
