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KMID : 0359819930220040520
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 4 p.520 ~ p.528
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Ventriculotransverse Sinus Shunt for Hydroephalus
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함인석
김병훈/이충형/황성규/박연묵/김승래
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Abstract
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The new operative technique of ventriculotransverse sinus shunt for hydrocephalus is introduced in this paper. This method has been applied to 6 hydrocephalic patients with Pudenz-Heyer low pressure valve in our department of Kyungpook National
University Hospital from June 1990 to May 1992.
4 cases including 2 high pressure hydrocephalus of all the patients improved in neurologic deficit within 2 weeks postoperatively. 2 cases of normal pressure hydrocephalus installed the same shunt showed no improvement without any shunt valve
dysfunction. So the shunts were revised to ventriculoperitoneal shunts.
The choice of transverse sinus rather than superior sagittal sinus for CSF recipient of shunt seems more reasonable anatomically and physiologically. And this procedure could first apply to the poor risk patients with local anesthesia in such
cases
with
old age, deteriorated, and to the patients requiring revision of the other shunting.
To confirm the effect and perspect for contineous using this new technique, more patients applying this method and long term follow-ups of them should be needed.
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KEYWORD
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