疑似脑脊液分流功能障碍的压力-放射性核素联合评估：七年临床经验

Combined pressure-radionuclide evaluation of suspected cerebrospinal fluid shunt malfunction: a seven-year clinical experience.

作者信息

Hayden P W, Rudd T G, Shurtleff D B

出版信息

Pediatrics. 1980 Nov;66(5):679-84.

Abstract

A simple, safe radionuclide technique for evaluating the functional status of a cerebrospinal fluid shunt has been used in the clinical management of hydrocephalus in 306 patients over a seven-year period. Results of 526 studies showed greater than 99% sensitivity and accuracy in diagnosing distal shunt obstruction and 96% correct correlation with clinical outcome overall. Intrareservoir pressure measurements are especially valuable to diagnose proximal catheter shunt malfunction and to assess shunt dependency.

摘要

一种用于评估脑脊液分流器功能状态的简单、安全的放射性核素技术，在7年时间里已被用于306例脑积水患者的临床治疗中。526项研究结果显示，在诊断分流器远端梗阻方面，其敏感性和准确性超过99%，总体上与临床结果的正确相关性为96%。储液器内压力测量对于诊断近端导管分流器故障和评估分流器依赖性特别有价值。