Torkildsen shunt as a salvage procedure for an infant with post-hemorrhagic hydrocephalus
| العنوان: | Torkildsen shunt as a salvage procedure for an infant with post-hemorrhagic hydrocephalus |
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| المؤلفون: | Marios Themistocleous, Dimitrios Panagopoulos, Andreas Mitsios, Georgios Sfakianos |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier BV, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, T2 GRE, T2 gradient echo sequence, VP shunt, ventriculo-peritoneal shunt, CNS, central nervous system, Cisterna magna, CSF, cerebrospinal fluid, Article, EVD, external ventricular drainage, 03 medical and health sciences, Lateral ventricles, Post-Hemorrhagic Hydrocephalus, VCS, ventriculocisternostomy, 0302 clinical medicine, medicine, medicine.diagnostic_test, business.industry, Occipital horn, Magnetic resonance imaging, Torkildsen operation, medicine.disease, Salvage procedure, CT, computed tomography, Surgery, Hydrocephalus, Shunt (medical), 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, business, MRI, magnetic resonance imaging, VA shunt, ventriculo-atrial shunt |
| الوصف: | Highlights • Modern techniques for treatment of infantile post-hemorrhagic hydrocephalus failed. • This operation is an internal shunt that avoids use of ventriculo-peritoneal shunt. • It is currently generally regarded as an “obsolete surgical procedure”. Introduction Torkildsen operation is a ventriculo-cisternal shunt that diverts the cerebrospinal fluid flow from one of the lateral ventricles, via a ventricular catheter, to the cisterna magna of the posterior fossa. It is the first described operation of CSF diversion for the treatment of hydrocephalus [1] (Scarff, 1963). Presentation of case We present the case of a premature infant who presented with post hemorrhagic hydrocephalus who underwent several failed CSF diversion surgeries before Torkildsen shunt procedure. The patient overcame the irregularities of CSF circulation that were observed before the operation and his post-operative course was uneventful, in terms of CSF –related complications. Discussion We summarize the historical data and the technical aspects of the procedure, and we present a brief literature review of the indications and limitations associated with it. Conclusion Torkildsen shunt can be effective in selected patients with hydrocephalus even in the modern era of computed tomography and magnetic resonance imaging. the procedure enables one to avoid a standard ventriculoperitoneal shunt, especially in cases it is not technically feasible. |
| تدمد: | 2210-2612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1eb81f24d114b480ceead2c420a26401Test https://doi.org/10.1016/j.ijscr.2018.11.058Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1eb81f24d114b480ceead2c420a26401 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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