Intra-osseous cerebrospinal fluid shunts–Overview of past and present clinical and experimental evidence - 21/11/22
Abstract |
In the history of hydrocephalus treatment, a variety of diversion sites have been explored to ensure an adequate alternative when the peritoneum was not a feasible option. An interesting choice was the elimination of excessive cerebrospinal fluid (CSF) in the skeletal system. The purpose of this review was to evaluate all shunting systems that have been implemented in bone structures and to determine their therapeutic potential. All articles pertaining to bone derivations were selected from PubMed, Medline, EBSCO and Scopus, using relevant search terms. The search revealed 6 types of osseous shunts that have been used throughout history: vertebral, diploic, ventriculomastoid, ventriculoiliac, ventriculosternal and ventriculohumeral. Some of them are purely of historical significance, but data from more recent clinical and experimental studies have rendered this type of receptacle a potential site for diverting CSF. Having knowledge of all the alternatives used in cases of refractory hydrocephalus is vital for choosing the appropriate surgical intervention.
Le texte complet de cet article est disponible en PDF.Keywords : Hydrocephalus, IOCSFS, Ventriculosternal shunt, Ventriculoiliac shunt, Ventriculohumeral shunt, Ventriculomastoid shunt, Diploic shunt, Vertebral shunt
Abbreviations : Pts, IO, IOCSFS, VS, VI, VH, VP, VPL, VCS, CSF, CT, w, h, mo, y, n/a, WFNS
Plan
Vol 68 - N° 6
P. e84-e96 - décembre 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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