1. Changes of third ventricle diameter (TVD) mirror changes of the entire ventricular system at acute shunt failure and after shunt revision in pediatric hydrocephalus
- Author
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Martin U. Schuhmann, Karin Haas-Lude, Andrea Bevot, Susanne R. Kerscher, and Louise L. Schweizer
- Subjects
medicine.medical_specialty ,Ventricular system ,Ventriculoperitoneal Shunt ,Cerebral Ventricles ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Lateral ventricles ,0302 clinical medicine ,Lateral Ventricles ,Internal medicine ,medicine ,Humans ,Child ,Retrospective Studies ,Third Ventricle ,Third ventricle ,business.industry ,Infant ,General Medicine ,medicine.disease ,Magnetic Resonance Imaging ,Hydrocephalus ,medicine.anatomical_structure ,Ventricle ,Coronal plane ,Pediatrics, Perinatology and Child Health ,Cardiology ,sense organs ,Neurology (clinical) ,Neurosurgery ,business ,030217 neurology & neurosurgery ,Shunt (electrical) - Abstract
In hydrocephalic children, regular investigations of the ventricles are important for initial diagnosis and after initial treatment. Our recent study showed that changes of the third ventricle diameter (TVD) reliably reflect changes of the entire ventricular system at diagnosis and following initial therapy. This study compares changes of TVD with changes of ventricle indices at acute shunt failure and after shunt revision in hydrocephalic children. A total of 117 children with hydrocephalus were included in this study. MRI/CT images of 30 children were evaluated at the time of acute shunt dysfunction and after subsequent shunt revision. Measurements included axial TVD and three standard measures of lateral ventricles (Evans index, frontal occipital horn ratio (FOHR), and cella media index (CMI)). In 97 children, correlation between axial and coronal/diagonal TVD was evaluated at the time of initial diagnosis of hydrocephalus. At acute shunt dysfunction, the best linear correlation was found between TVD and CMI (r = 0.702, p
- Published
- 2020