Subtemporal decompressions for shunt-dependent ventricles: Mechanism of action

Martin Linder, Jan Diehl, Frederick H. Sklar

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

The literature suggests that subtemporal decompression is an effective treatment for the syndrome of shunt-dependent ventricles because it allows the ventricle to enlarge around the shunt catheter tip. Pre- and post craniectomy ventricular areas were measured from computed tomography scans with a computer digitizing technique in three patients with this syndrome who had undergone four surgical procedures. All patients improved symptomatically following craniectomy. A significant decrease in total ventricular area was noted in all instances. The results suggest that subtemporal craniectomy causes the ventricles to become smaller, not larger. Other possible explanations for the effectiveness of the procedure are discussed.

Original languageEnglish (US)
Pages (from-to)520-523
Number of pages4
JournalSurgical Neurology
Volume19
Issue number6
DOIs
StatePublished - Jun 1983

Keywords

  • Brain elasticity
  • Cerebrospinal fluid shunts
  • Hydrocephalus
  • Pressure-volume relationship
  • Pulse pressure
  • Shuntdependent ventricles

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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