Rekate H L
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Ariz. 85013.
Pediatr Neurosurg. 1993;19(1):15-20. doi: 10.1159/000120694.
The term slit-ventricle syndrome appears to have different meanings to different authors. This study proposes a sublcassification of headaches in shunted children based on data obtained from chronic monitoring of intracranial pressure in 7 symptomatic children. Five distinct syndromes are identified: (1) intermittent, extremely low pressure headaches that are analogous to spinal headaches, (2) intermittent proximal obstruction, (3) shunt failure with small ventricles ('normal volume hydrocephalus'), (4) intracranial hypertension with working shunts (hydrocephalic pseudotumor), and (5) headaches unrelated to shunt function. We would prefer to limit the use of the term slit-ventricle syndrome to the triad of intermittent headaches lasting 10-30 min, smaller than normal ventricles on imaging studies, and slow refill of shunt-pumping devices. In other situations, a description relating to the presumed pathogenesis should be used.
“裂隙脑室综合征”这一术语对不同作者而言似乎有不同含义。本研究基于对7名有症状儿童颅内压进行长期监测所获得的数据，对接受分流术儿童的头痛进行了亚分类。确定了五种不同的综合征：（1）间歇性、极低压力性头痛，类似于脊髓性头痛；（2）间歇性近端梗阻；（3）伴有小脑室的分流失败（“正常容量脑积水”）；（4）分流装置正常工作时的颅内高压（脑积水性假瘤）；（5）与分流功能无关的头痛。我们更倾向于将“裂隙脑室综合征”这一术语的使用限定为以下三联征：持续10 - 30分钟的间歇性头痛、影像学检查显示脑室小于正常以及分流泵装置回血缓慢。在其他情况下，应使用与推测发病机制相关的描述。
