Why the study?
Does subtemporal craniectomy prevent recurrent shunt obstruction in shunt-dependent children with small ventricles?
Does subtemporal craniectomy prevent recurrent shunt obstruction in shunt-dependent children with small ventricles?
Subtemporal craniectomy provides a potential surgical solution for recurrent shunt obstruction in children with small ventricles.
Answers are grounded in this paper and cite their sources.
May warrant consideration in refractory pediatric shunt cases; leaves open efficacy pending prospective trials.
✓ The authors report the cases of two shunt-dependent children with recurring ventricular catheter obstruction treated by subtemporal craniectomy with excellent results. It is suggested that the procedure permits some dilatation of the ipsilateral ventricle which in turn makes future catheter obstruction less likely.
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Epstein et al. (1974) studied this question.
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