Subtemporal Decompression: The Treatment of Noncompliant Ventricle Syndrome

Subtemporal Decompression: The Treatment of Noncompliant Ventricle Syndrome 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Subtemporal Decompression: The Treatment of Noncompliant Ventricle Syndrome

Subtemporal Decompression: The Treatment of Noncompliant Ventricle Syndrome

CLINICAL STUDIES Subtemporal Decompression: The Treatment of Noncompliant Ventricle Syndrome Neil Buxton, F.R.C.S.(Ed), Jonathan Punt, F.R.C.S. Department of Neurosurgery (NB) and Division of Paediatric Neurosurgery (JP), Department of C h ild Health, University Hospital, Nottingham, England OBJECTIVE: 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 n o n co m p lia n t v e n tric le sy n d ro m e 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 - 1 2 yr). The number of shunt revisions before STD was 128 (mean, 4.6 revisions; range, 0 -3 0 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 -1 0 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. W e explore these arguments in this article. (Neurosurgery 4 4 :5 1 3 -5 1 9 , 1999) Key words: Complications,...
Loading next page...
 
/lp/ou_press/subtemporal-decompression-the-treatment-of-noncompliant-ventricle-ssxPETJjic
Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199903000-00045
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

NeurosurgeryOxford University Press

Published: Mar 1, 1999

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

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

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

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.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial