Evaluation of shunt function in hydrocephalic patients with the radionuclide 99m Tc-pertechnetate

Autor: Christiane H. May, Reinhard Aurisch, Dietmar Kornrumpf, Siegfried Vogel
Rok vydání: 1999
Předmět:
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