Real-Time Fluoroscopic and C-Arm Computed Tomography Evaluation of Ommaya Reservoir Integrity.

Autor:	Moraff AM; Department of Neurosurgery, Stanford University School of Medicine., Hayden Gephart M; Department of Neurosurgery, Stanford University School of Medicine., Shuer LM; Stanford University School of Medicine., Heit JJ; Department of Radiology, Stanford University School of Medicine.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2017 Mar 15; Vol. 9 (3), pp. e1097. Date of Electronic Publication: 2017 Mar 15.
DOI:	10.7759/cureus.1097
Abstrakt:	We describe a case of a 24-year-old patient with relapsed acute myelogenous leukemia involving the central nervous system. After placement of an Ommaya reservoir for intrathecal chemotherapy administration, the patient developed progressive headache, nausea, and drowsiness and was found to have an enlarging subdural collection underlying the Ommaya. To exclude leakage of the Ommaya system into the subdural space, real-time fluoroscopic and C-arm computed tomographic evaluation of the Ommaya reservoir was performed after iodinated contrast injection into the reservoir. This novel technique demonstrated complete integrity of the Ommaya reservoir without evidence of blockage or leakage of the system. The patient underwent uncomplicated evacuation of the subdural collection without replacement of the Ommaya reservoir and made an excellent recovery. This technique for real-time interrogation of the Ommaya reservoir may have additional utility in the evaluation for Ommaya reservoir dysfunction. Competing Interests: The authors have declared that no competing interests exist.
Databáze:	MEDLINE
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