Laboratory study on 'intracranial hypotension' created by pumping the chamber of a hydrocephalus shunt
| Autor: | John D. Pickard, Adam Bromby, Marek Czosnyka, Hugh K. Richards, David Allin, Zofia Czosnyka |
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| Přispěvatelé: | Pickard, John [0000-0002-5762-6667], Czosnyka, Marek [0000-0003-2446-8006], Apollo - University of Cambridge Repository |
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Bioengineering Cardiovascular lcsh:RC346-429 Cellular and Molecular Neuroscience Developmental Neuroscience Internal medicine medicine Intracranial Hypotension lcsh:Neurology. Diseases of the nervous system Proximal occlusion Intracranial pressure Maximum pressure Assistive Technology business.industry Research Neurosciences 1103 Clinical Sciences medicine.disease Ventricular catheter Hydrocephalus Brain Disorders Clinical Medicine and Science Neurology Cardiology business Neuroscience Shunt (electrical) |
| Zdroj: | Cerebrospinal Fluid Research Cerebrospinal Fluid Research, Vol 4, Iss 1, p 2 (2007) |
| Popis: | Background It has been reported that pumping a shunt in situ may precipitate a proximal occlusion, and/or lead to ventricular over-drainage, particularly in the context of small ventricles. In the laboratory we measured the effect of pumping the pre-chamber of hydrocephalus shunts on intracranial hypotension. Materials and methods A simple physical model of the CSF space in a hydrocephalic patient was constructed with appropriate compliance, CSF production and circulation. This was used to test eleven different hydrocephalus shunts. The lowest pressure obtained, the number of pumps needed to reach this pressure, and the maximum pressure change with a single pump, were recorded. Results All models were able to produce negative pressures ranging from -11.5 mmHg (Orbis-Sigma valve) to -233.1 mmHg (Sinu-Shunt). The number of pumps required reaching these levels ranged from 21 (PS Medical LP Reservoir) to 315 (Codman Hakim-Programmable). The maximum pressure change per pump ranged from 0.39 mmHg (Orbis-Sigma valve) to 23.1 (PS Medical LP Reservoir). Conclusion Patients, carers and professionals should be warned that 'pumping' a shunt's pre-chamber may cause a large change in intracranial pressure and predispose the patient to ventricular catheter obstruction or other complications. |
| Databáze: | OpenAIRE |
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