Book contents
- Handbook of Emergency Neurology
- Handbook of Emergency Neurology
- Copyright page
- Contents
- Contributors
- Section 1 Neurologic Examination and Neurodiagnostic Testing
- Section 2 Common Neurologic Presentations: A Symptom-Based Approach
- Section 3 Specific Neurological Disorders in Emergency Medicine
- Chapter 11 Ischemic Stroke and Transient Ischemic Attack
- Chapter 12 Intracranial Hemorrhage
- Chapter 13 Seizures
- Chapter 14 Infections of the Central Nervous System
- Chapter 15 Traumatic Brain Injury
- Chapter 16 Increased Intracranial Pressure and Herniation Syndromes
- Chapter 17 Traumatic and Nontraumatic Spinal Cord Disorders
- Chapter 18 Neuro-ophthalmology Emergencies
- Chapter 19 Brain Tumors and Other Neuro-oncologic Emergencies
- Chapter 20 Peripheral Nerve and Neuromuscular Disorders
- Chapter 21 Movement Disorders
- Chapter 22 Multiple Sclerosis
- Chapter 23 Hydrocephalus and Shunt Evaluation
- Chapter 24 Post-Arrest Neurologic Resuscitation
- Chapter 25 Neurotoxicology
- Chapter 26 Neurologic Emergencies of Pregnancy
- Chapter 27 Brain Death
- Chapter 28 Hysteria
- Index
- References
Chapter 23 - Hydrocephalus and Shunt Evaluation
from Section 3 - Specific Neurological Disorders in Emergency Medicine
Published online by Cambridge University Press: 10 January 2024
Book contents
- Handbook of Emergency Neurology
- Handbook of Emergency Neurology
- Copyright page
- Contents
- Contributors
- Section 1 Neurologic Examination and Neurodiagnostic Testing
- Section 2 Common Neurologic Presentations: A Symptom-Based Approach
- Section 3 Specific Neurological Disorders in Emergency Medicine
- Chapter 11 Ischemic Stroke and Transient Ischemic Attack
- Chapter 12 Intracranial Hemorrhage
- Chapter 13 Seizures
- Chapter 14 Infections of the Central Nervous System
- Chapter 15 Traumatic Brain Injury
- Chapter 16 Increased Intracranial Pressure and Herniation Syndromes
- Chapter 17 Traumatic and Nontraumatic Spinal Cord Disorders
- Chapter 18 Neuro-ophthalmology Emergencies
- Chapter 19 Brain Tumors and Other Neuro-oncologic Emergencies
- Chapter 20 Peripheral Nerve and Neuromuscular Disorders
- Chapter 21 Movement Disorders
- Chapter 22 Multiple Sclerosis
- Chapter 23 Hydrocephalus and Shunt Evaluation
- Chapter 24 Post-Arrest Neurologic Resuscitation
- Chapter 25 Neurotoxicology
- Chapter 26 Neurologic Emergencies of Pregnancy
- Chapter 27 Brain Death
- Chapter 28 Hysteria
- Index
- References
Summary
Hydrocephalus is an extremely common neurological condition encountered in the emergency department (ED). The condition is characterized by symptomatic inability to drain or resorb CSF, resulting in pressure build-up within the brain. Hydrocephalus can result from both congenital and acquired etiologies, many of which can respond to shunting. The symptoms of hydrocephalus are classically due to an increase in intracranial pressure (ICP); however, normal- or low-pressure variants can occur. Hydrocephalus can result from a blockage within the ventricular system (“obstructive”) or outside the ventricular system (“communicating”), thereby impairing CSF absorption into the cerebral venous sinuses. Hydrocephalus may also be caused by failure of CSF to be absorbed secondary to abnormalities in the brain parenchyma itself.
Keywords
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- Information
- Handbook of Emergency Neurology , pp. 334 - 345Publisher: Cambridge University PressPrint publication year: 2023
References
Bartynski, WS, Valliappan, S, Uselman, JH, Spearman, MP. The adult radiographic shuntogram. AJNR Am J Neuroradiol 2000;21(4):721–726.Google Scholar
Browd, SR, Ragel, BT, Gottfried, ON, Kestle, JR. Failure of cerebrospinal fluid shunts: part I. Obstruction and mechanical failure. Pediatr Neurol 2006;34(2):83–92.Google Scholar
Browd, SR, Gottfried, ON, Ragel, BT, Kestle, JR. Failure of cerebrospinal fluid shunts: part II. Overdrainage, loculation, and abdominal complications. Pediatr Neurol 2006;34(3):171–176.CrossRefGoogle ScholarPubMed
Chiewvit, S, Nuntaaree, S, Kanchaanapiboon, P, Chiewvit, P. Assessment lumboperitoneal or ventriculoperitoneal shunt patency by radionuclide technique: a review experience cases. World J Nucl Med 2014;13(2):75–84.Google Scholar
Dewey, RC, Kosnik, EJ, Sayers, MP. A simple test of shunt function: the shuntogram. J Neurosurg 1976;44:121–126.Google Scholar
Di Rocco, C, Caldwell, M. Surveillance of CSF shunt function. In Di Rocco, C (ed.) The Treatment of Infantile Hydrocephalus. CRC Press, 1987.Google Scholar
Hayden, PW, Rudd, TG, Shurtleff, DB. Combined pressure-radionuclide evaluation of suspected cerebrospinal fluid shunt malfunction: a seven-year clinical experience. Pediatrics 1980;66(5):679–684.Google Scholar
Khan, AA, Jabbar, A, Banerjee, A, Hinchley, G. Cerebrospinal shunt malfunction: recognition and emergency management. Br J Hosp Med (Lond) 2007;68(12):651–655.Google Scholar
Masinda, AJ, Guazzo, EG. Blocked ventriculoperitoneal shunt causing raised intracranial pressure diagnosed by prominent sinus pericranii. J Clin Neurosci 2009;16(12):1686–1687.Google Scholar
Ouellette, D, Lynch, T, Bruder, E, et al. Additive value of nuclear medicine shuntograms to computed tomography for suspected cerebrospinal fluid shunt obstruction in the pediatric emergency department. Pediatr Emerg Care 2009;25(12):827–830.Google Scholar
Rekate, HL. Shunt revision: complications and their prevention. Pediatr Neurosurg 1991;17(3):155–162.Google Scholar
Rocque, BG, Lapsiwala, S, Iskandar, BJ. Ventricular shunt tap as a predictor of proximal shunt malfunction in children: a prospective study. J Neurosurg Pediatr 2008;1(6):439–443.Google Scholar
Savoiardo, M, Solero, CL, Passerini, A, Migliavacca, F. Determination of cerebrospinal fluid shunt function with water-soluble contrast medium. J Neurosurg 1978;49:398–407.CrossRefGoogle ScholarPubMed
Sekhar, LN, Moossy, J, Guthkelch, AN. Malfunctioning ventriculoperitoneal shunts. Clinical and pathological features. J Neurosurg 1982;56(3):411–416.Google Scholar
Thompson, EM, Wagner, K, Kronfeld, K, Selden, NR. Using a 2-variable method in radionuclide shuntography to predict shunt patency. J Neurosurg 2014;121(6):1504–1507.CrossRefGoogle ScholarPubMed
Vassilyadi, M, Tataryn, ZL, Matzinger, MA, Briggs, V, Ventureyra, EC. Radioisotope shuntograms at the Children’s Hospital of Eastern Ontario. Childs Nerv Syst 2006;22(1):43–49.Google Scholar
Vernet, O, Farmer, JP, Lambert, R, Montes, JL. Radionuclide shuntogram: adjunct to manage hydrocephalic patients. J Nucl Med 1996;37(3):406–41.Google Scholar