지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 301 - 305 (5page)
이용수
초록· 키워드
오류제보하기
Multiloculated hydrocephalus (MLH) is a condition in which patients have multiple, separate abnormal cerebrospinal fluid collections with no communication between them. Despite technical advancements in pediatric neurosurgery, neurological outcomes are poor in these patients and the approach to this pathology remains problematic especially given individual anatomic complexity and cerebrospinal fluid (CSF) hydrodynamics. A uniform surgical strategy has not yet been developed. Current treatment options for MLH are microsurgical fenestration of separate compartments by open craniotomy or endoscopy, shunt surgery in which multiple catheters are placed in the compartments, and combinations of these modalities. Craniotomy for fenestration allows better visualization of the compartments and membranes, and it can offer easy fenestration or excision of membranes and wide communication of cystic compartments. Hemostasis is more easily achieved. However, because of profound loss of CSF during surgery, open craniotomy is associated with an increased chance of subdural hygroma and/or hematoma collection and shunt malfunction. Endoscopy has advantages such as minimal invasiveness, avoidance of brain retraction, less blood loss, faster operation time, and shorter hospital stay. Disadvantages are also similar to those of open craniotomy. Intraoperative bleeding can usually be easily managed by irrigation or coagulation. However, handling of significant intraoperative bleeding is not as easy. Currently, endoscopic fenestration tends to be performed more often as initial treatment and open craniotomy may be useful in patients requiring repeated endoscopic procedures.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Akbari SHA / 2015 / Surgical management of complex multiloculated hydrocephalus in infants and children / Childs Nerv Syst 31:243~249
Albanese V / 1981 / Multiloculated hydrocephalus in infants / Neurosurgery 8:641~646
Andresen M / 2012 / Multiloculated hydrocephalus: a review of current problems in classification and treatment / Childs Nerv Syst 28:357~362
Cipri S / 2001 / Neuroendoscopic approach to complex hydrocephalus. Personal experience and preliminary report / J Neurosurg Sci 45:92~96
Eder HG / 1997 / Complications after shunting isolated IV ventricles / Childs Nerv Syst 13:13~16
Albanese V / 1981 / Multiloculated hydrocephalus in infants / Neurosurgery 8:641~646
Andresen M / 2012 / Multiloculated hydrocephalus: a review of current problems in classification and treatment / Childs Nerv Syst 28:357~362
Cipri S / 2001 / Neuroendoscopic approach to complex hydrocephalus. Personal experience and preliminary report / J Neurosurg Sci 45:92~96
Eder HG / 1997 / Complications after shunting isolated IV ventricles / Childs Nerv Syst 13:13~16
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