脑积水该如何治疗配图,仅供参考
1.2.5. TreatmentHydrocephalus could be treated medically and surgically. Medical treatment of hydrocephalus aims to reduce the production of CSF and dehydrate the brain. Various drugs have been tested for hydrocephalus,among which are isosorbide,glycerol,acetazolamide,and steroid .
Ventriculoperitoneal (VP) Shunt is the main treatment modality for hydrocephalus. It dramatically improves neurological outcome despite being associated with several complications . VP shunt is utilized to divert CSF. It is basically a tube with a pressure-regulating valve that carries CSF from the ventricular system to another space outside the brain,such as the peritoneum . Surgery is done with general anesthesia. The position of the patient is supine,with the head being rotated to the contralateral side. used a carbon head clamp adapter and Mayfield carbon head clamp. Evaluation is based on a CT scan to check the ventricular catheter position . For small children,the length of the peritoneal catheter is generally 30 cm length of intra-peritoneal tubing to allow continued growth (120 cm total length of peritoneal tubing was associated with a lower revision rate for growth without a significant increase in other complications) .
Indication of VP shunt are as follows; congenital hydrocephalus,tumors leading to CSF blockage of the lateral or third ventricles,the posterior fossa,and intraspinal tumors,post-hemorrhagic hydrocephalus,spina bifida causing hydrocephalus,congenital aqueductal stenosis,craniosynostosis,post-meningitic hydrocephalus,Dandy-Walker,arachnoid cysts,and Idiopathic intracranial hypertension .","department":"
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