Cerebrospinal Fluid Dynamics Study: Applications in Clinical Practice

doi:10.36503/chcmj2(2)-04

Quantitative analysis of cerebrospinal fluid dynamics at phase contrast cine-MRI: predictivity of neurosurgical "Shunt" responsiveness in patients with idiopathic normal pressure hydrocephalus

Journal of Neurosurgical Sciences ◽

10.23736/s0390-5616.17.04092-9 ◽

2020 ◽

Vol 64 (5) ◽

Author(s):

Alessandro Stecco ◽

Alessia Cassarà ◽

Alberto Zuccalà ◽

Mihaela B. Anoaica ◽

Egidio Genovese ◽

...

Keyword(s):

Fluid Dynamics ◽

Cerebrospinal Fluid ◽

Quantitative Analysis ◽

Normal Pressure Hydrocephalus ◽

Phase Contrast ◽

Normal Pressure ◽

Idiopathic Normal Pressure Hydrocephalus ◽

Cine Mri ◽

Cerebrospinal Fluid Dynamics

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Comparison of cerebrospinal fluid dynamics studied by computed tomography (CT) and radioisotope (RI) Cisternography

Neuroradiology ◽

10.1007/bf00395248 ◽

1978 ◽

Vol 16 (1) ◽

pp. 193-198 ◽

Cited By ~ 8

Author(s):

N. Tamaki ◽

Y. Kanazawa ◽

M. Asada ◽

T. Kusunoki ◽

S. Matsumoto

Keyword(s):

Fluid Dynamics ◽

Computed Tomography ◽

Cerebrospinal Fluid ◽

Cerebrospinal Fluid Dynamics

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Glaucoma and the Role of Cerebrospinal Fluid Dynamics

Investigative Opthalmology & Visual Science ◽

10.1167/iovs.15-18016 ◽

2015 ◽

Vol 56 (11) ◽

pp. 6630 ◽

Cited By ~ 4

Author(s):

Peter Wostyn ◽

Veva De Groot ◽

Debby Van Dam ◽

Kurt Audenaert ◽

Hanspeter Esriel Killer ◽

...

Keyword(s):

Fluid Dynamics ◽

Cerebrospinal Fluid ◽

Cerebrospinal Fluid Dynamics

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Non-Steady-State Measurements of Cerebrospinal Fluid Dynamics

Neurobiology of Cerebrospinal Fluid 1 ◽

10.1007/978-1-4684-1039-6_28 ◽

1980 ◽

pp. 365-379 ◽

Cited By ~ 3

Author(s):

Frederick H. Sklar

Keyword(s):

Fluid Dynamics ◽

Cerebrospinal Fluid ◽

Steady State ◽

Cerebrospinal Fluid Dynamics

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Posthemorrhagic Hydrocephalus With Decompensation Of Cerebrospinal Fluid Dynamics In Newborns: New In Treatment Tactics

Russian Open Medical Journal ◽

10.15275/rusomj.2020.0413 ◽

2020 ◽

Vol 9 (4) ◽

Author(s):

Oleg V. Volkodav ◽

Svetlana A. Zinchenko ◽

William А. Khachatryan

Keyword(s):

Fluid Dynamics ◽

Cerebrospinal Fluid ◽

Standard Treatment ◽

Positive Outcome ◽

Cerebrospinal Fluid Dynamics ◽

Posthemorrhagic Hydrocephalus ◽

Single Method ◽

Hydrocephalus Treatment ◽

Intracranial Circulation ◽

Group 1

Background ― Posthemorrhagic hydrocephalus in newborns with occlusion of cerebrospinal fluid leads to decompensation of cerebrospinal fluid dynamics. There is no single method that meets all the criteria for the effectiveness and safety of treatment. The study goal was to investigate the use of coronary translambdoid subarachnoid ventriculostomy (CTSV) and ventricular subarachnoid stenting (VSS) in the treatment of neonatal hydrocephalus. Material and Methods ― The analysis of the posthemorrhagic hydrocephalus treatment in 327 newborns for the period of 2000-2018 in Crimea. Two groups have been identified. In the Group 1, 184 children underwent standard treatment according to the ‘LVV protocol’ with lumbar and ventricular punctures with 20-22G needles, while with progression of hydrocephalus, with ventriculosubgaleal drainage and ventriculoperitoneal shunt. In 143 children with occlusion and ventricular block, the treatment complex included CTSV – RF Patent No. 2715535, and ventricular drainage by the ventricular subarachnoid stenting (VSS) – RF Patent No. 2721455. Results ― An increase in the treatment radicality under CTSV is achieved through the use of the cerebral needles of a larger diameter (14G) and puncture access zones, elimination of occlusion, while under VSS, restoration of intracranial circulation and absorption of cerebrospinal fluid is ensured by prolonged sanitation with a saline solution of cerebrospinal fluid spaces. A positive outcome with compensation for hydrocephalus was achieved in 75.4% of cases versus 28.2% under the conventional protocol (p<0.001). In other cases, the imbalance of production and absorption of cerebrospinal fluid remained, which required the integration of the VSS with the peritoneal segment of the shunt, without further replacement and reinstallation of the system. Conclusion ― Our results allow us to consider the effectiveness of CTSV and VSS inclusion in the contemporary algorithm for the treatment of decompensated posthemorrhagic hydrocephalus in newborns.

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