Key result
Tailored surgical strategies treat non-compliant ventricle syndrome based on underlying pathophysiology.
Why the study?
The terminology of slit ventricle syndrome complicates formulating treatment algorithms and understanding the underlying pathology.
Slit ventricle syndrome is better termed non-compliant ventricle syndrome, with treatment tailored to underlying pathology such as iatrogenic small calvaria or normal-sized calvarium.
Answers are grounded in this paper and cite their sources.
Reclassifying slit ventricle syndrome as non-compliant may reduce confusion; leaves open pathology-focused algorithms pending validation.
This review discusses the clinical difficulties with the so-called slit ventricle syndrome. It discusses why this terminology makes it difficult to formulate treatment algorithms. Slit ventricle syndrome should probably be known as the non-compliant ventricle syndrome to avoid confusion of radiological 'slit ventricles' with the syndrome. Therapeutic measures should ideally focus on the underlying pathology related to the syndrome. For those patients with iatrogenic small calvaria and synostosis, subtemporal decompression would appear a low-risk and quick procedure. Calvarial expansion would be a second-line treatment. For those patients with a normal-sized calvarium and non-compliant ventricle syndrome, valve upgrade, adding an antisiphon device or programmable valve would appear a good first step. For patients in whom the diagnosis is unclear, a potential management plan is discussed.
No takes yet. Share an insight, caveat, or question.
Sarah Olson (2004) conducted a review in Slit ventricle syndrome. Slit ventricle syndrome, better termed non-compliant ventricle syndrome, requires treatment tailored to underlying pathology such as subtemporal decompression or valve upgrades.
Synapse has enriched 10 related papers. Consider them for comparative context: