Key result
High-resistance valves plus anti-siphon devices achieve ventricular reexpansion in 6 hydrocephalic children.
Why the study?
Slit ventricle syndrome in hydrocephalic children and its prevention through valve management and ventricular size maintenance was not well characterized.
Does insertion of high-resistance valves and anti-siphon devices improve ventricular reexpansion in hydrocephalic children with slit ventricle syndrome?
Case Report (n=6)
Does insertion of high-resistance valves and anti-siphon devices improve ventricular reexpansion in hydrocephalic children with slit ventricle syndrome?
Insertion of high-resistance valves and anti-siphon devices can reverse ventricular coaptation in children with slit ventricle syndrome.
May support valve revision in refractory slit ventricle syndrome; hypothesis-generating from small case series, requiring prospective trials.
✓ This study reports six cases of hydrocephalic children with the “slit ventricle syndrome” who evidenced reexpansion of the ventricular system following insertion of high-resistance valves and anti-siphon devices. The authors contend that slit ventricles and subsequent ventricular coaptation can be prevented by elimination or early replacement of low-resistance valves, and maintenance of normal- or nearly normalsized ventricles by shunt revision with valve upgrade and/or an anti-siphon device, as judged by the appearance of the ventricles on computerized tomography.
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Hyde-Rowan et al. (1982) conducted a case report in Slit ventricle syndrome in hydrocephalic children (n=6). Insertion of high-resistance valves and anti-siphon devices was evaluated on Reexpansion of the ventricular system. Insertion of high-resistance valves and anti-siphon devices resulted in reexpansion of the ventricular system in six hydrocephalic children with slit ventricle syndrome.
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