Evaluation of shunt function in hydrocephalic patients with the radionuclide 99m Tc-pertechnetate
Autor: | Christiane H. May, Reinhard Aurisch, Dietmar Kornrumpf, Siegfried Vogel |
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Rok vydání: | 1999 |
Předmět: |
Male
Reoperation medicine.medical_specialty Adolescent Physical examination Neurological examination Sensitivity and Specificity Technetium (99mTc) sestamibi Cerebral Ventricles Central nervous system disease Postoperative Complications Clinical Protocols Humans Medicine Child Radionuclide Imaging Peritoneal Cavity Sodium Pertechnetate Tc 99m medicine.diagnostic_test business.industry Infant General Medicine medicine.disease Cerebrospinal Fluid Shunts Shunt (medical) Hydrocephalus Equipment Failure Analysis Child Preschool Pediatrics Perinatology and Child Health Female Neurology (clinical) Neurosurgery Radiopharmaceuticals Rheology business Nuclear medicine Follow-Up Studies medicine.drug |
Zdroj: | Child's Nervous System. 15:239-244 |
ISSN: | 1433-0350 0256-7040 |
DOI: | 10.1007/s003810050381 |
Popis: | In most cases of shunted hydrocephalus, shunt malfunction is evaluated by clinical examination and neuro-imaging. However if there is a discrepancy between neurological examination and imaging, additional shuntography can be helpful in the evaluation of the shunt function. In our clinic, radionuclide-imaging shuntography using (99m)technetium-pertechnetate was performed in 85 children between 1992 and 1995. The results of shuntography were evaluated visually and from time-activity curves. Shuntography had a sensitivity of 96%, a specificity of 89%, and an accuracy of 93%, proved either by surgery or by clinical follow-up for 2-5 years. Corresponding to these results, we recommend the use of shuntography in cases with an uncertain shunt function before surgical revision. |
Databáze: | OpenAIRE |
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