AbstractOBJECTIVE:To explore the effects of subtemporal decompression (STD) on the frequency of shunt revision and attendances with symptoms of raised intracranial pressure secondary to slit ventricle syndrome and slit ventricle like syndrome. A renaming of these syndromes as noncompliant ventricle syndrome is suggested.METHOD:A retrospective review of the notes of all patients at our institution having STD from 1984 to 1997 was conducted.RESULTS:Twenty-eight patients underwent STD (age range, 4-31 yr). Thirty-two STD procedures were performed. The mean follow-up duration after STD was 5.3 years (range, 0-12 yr). The number of shunt revisions before STD was 128 (mean, 4.6 revisions; range, 0-30 revisions) and after STD was 28 (mean, 1.0 revision; range, 0-7 revisions). The number of attendances before STD was 213 (mean, 6.7 attendances; range, 1-31 attendances) and after STD was 57 (mean, 1.8 attendances; range, 0-10 attendances). Among 15 patients for whom there was sufficient clinical data, 7 revisions were required during the 3 years before STD and 22 during the 3 years after STD. There were 53 admissions during the 3 years before STD and 11 during the 3 years after STD.CONCLUSION:Although the overall incidence of shunt revision decreases, there is an early increase in the frequency of revision after STD. The number of admissions of patients with raised intracranial pressure symptoms reduces after STD, and we think that this is a more important factor in the consideration of this procedure than the number of recent revisions. We explore these arguments in this article.
Neurosurgery – Oxford University Press
Published: Mar 1, 1999
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.
All for just $49/month
Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.
Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.
It’s easy to organize your research with our built-in tools.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera