[Lumbar cisternography in the evaluation of hydrocephalus in premature infants].

Abstract:

:Radionuclide lumbar cisternography with 111In-DTPA was utilized as a bedside procedure to evaluate CSF dynamics and the patency of the ventricular system in 29 preterm infants with hydrocephalus. Serial images of the brain were obtained at 0, 1, 2, 6, 24 and 48 hours after instillation of the isotope in the lumbar subarachnoid space. Three distinct patterns were seen. Infants with posthemorrhagic hydrocephalus displayed prompt ventricular filling but markedly delayed emptying with minimal flow over the cerebral convexities. Infants with ventriculomegaly secondary to suspected brain atrophy or periventricular leukomalacia demonstrated a pattern of prompt ventricular filling, delayed emptying, but with flow present over the convexities. An infant with noncommunicating hydrocephalus secondary to an Arnold-Chiari malformation showed a pattern of complete obstruction with no ventricular filling. Radionuclide lumbar cisternography appears to be a safe, well-tolerated procedure which produces images of sufficient resolution to provide valuable information about CSF dynamics, delineating basal cisternae, ventricles, and subarachnoid flow paths.

journal_name

Klin Padiatr

journal_title

Klinische Padiatrie

authors

Roloff DW

doi

10.1055/s-2008-1033955

subject

Has Abstract

pub_date

1985-03-01 00:00:00

pages

158

issue

2

eissn

0300-8630

issn

1439-3824

journal_volume

197

pub_type

杂志文章
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    doi:10.1055/s-2008-1026854

    authors: Scharf J,Richter K,Singer H,Deeg KH

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  • [Neuropsychological sequelae in children with AML treated with or without prophylactic CNS-irradiation].

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  • [Nutritional Therapy for Children and Adolescents with Autism Spectrum Disorders: What is the Evidence?].

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