Changes of third ventricle diameter (TVD) mirror changes of the entire ventricular system after initial therapy and during follow-up in pediatric hydrocephalus
| Autor: | Susanne R. Kerscher, Louise L. Schweizer, Thomas Nägele, Martin U. Schuhmann, Karin Haas-Lude, Annette Weichselbaum |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Ventricular system Cerebral Ventricles 03 medical and health sciences Lateral ventricles 0302 clinical medicine 030225 pediatrics Internal medicine Temporal bone medicine Humans Child skin and connective tissue diseases Retrospective Studies Third Ventricle Third ventricle business.industry Fontanelle Ultrasound Infant Newborn Infant General Medicine medicine.disease Magnetic Resonance Imaging Hydrocephalus medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Cardiology Female sense organs Neurology (clinical) Tomography X-Ray Computed business 030217 neurology & neurosurgery Pediatric hydrocephalus Follow-Up Studies |
| Zdroj: | European Journal of Paediatric Neurology. 23:571-580 |
| ISSN: | 1090-3798 |
| DOI: | 10.1016/j.ejpn.2019.05.008 |
| Popis: | Regular measurement of ventricular size is important in children with hydrocephalus. After closure of the fontanelle this is currently addressed by repetitive cranial MRI or CT imaging, coming along with risks of anaesthesia or radiation. As the third ventricle is accessible via the temporal bone window using ultrasound, determination of its diameter might be an easy and radiation-free alternative to assess the ventricular system. An essential precondition is that changes of the third ventricle diameter (TVD) mirror changes of the whole ventricular system. This study compares changes of TVD with changes of ventricular indices before and after initial treatment of hydrocephalus and during the following evolution.MRT/CT images from 117 children with hydrocephalus were evaluated at time of diagnosis, after initial therapy and during follow-up with functional shunts. Measurements included axial TVD and three standard linear measures of the lateral ventricles (Evans Index - EI, fronto-occipital horn ratio - FOHR Index, and Cella Media Index - CMI). Furthermore, a correlation within subjects was calculated in 8 patients over the entire available follow-up.Relative changes of TVD were significantly correlated to relative changes of all ventricular indices (r = 0.48, r = 0.68 and r = 0.701 for EI, FOHR and CMI, respectively, p 0.01). The correlation within subjects was outstanding for EI (r = 0.988), FOHR (r = 0.99) and CMI (r = 0.99).TVD showed a significant correlation with all three linear indices at the time of diagnosis and during follow-up changes independently of age, aetiology and ventricular width. TVD and its changes are therefore a reliable surrogate of changes in ventricular size in pediatric hydrocephalus undergoing treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect