دورية أكاديمية
The Added Value of Magnetic Resonance Imaging Cisternography and Ventriculography as a Diagnostic Aid in Pediatric Hydrocephalus.
| العنوان: | The Added Value of Magnetic Resonance Imaging Cisternography and Ventriculography as a Diagnostic Aid in Pediatric Hydrocephalus. |
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| المؤلفون: | Roth J; Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel, jonaroth@gmail.com., Constantini S; Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel., Ben-Sira L; Pediatric Radiology Unit, Department of Radiology, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel., Shiran SI; Pediatric Radiology Unit, Department of Radiology, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel. |
| المصدر: | Pediatric neurosurgery [Pediatr Neurosurg] 2019; Vol. 54 (3), pp. 165-172. Date of Electronic Publication: 2019 Mar 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: S. Karger Country of Publication: Switzerland NLM ID: 9114967 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0305 (Electronic) Linking ISSN: 10162291 NLM ISO Abbreviation: Pediatr Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel ; New York : S. Karger, c1990- |
| مواضيع طبية MeSH: | Cerebral Ventriculography* , Magnetic Resonance Imaging*, Hydrocephalus/*diagnostic imaging, Adolescent ; Child ; Child, Preschool ; Female ; Headache/etiology ; Humans ; Hydrocephalus/etiology ; Infant ; Male ; Retrospective Studies ; Third Ventricle/diagnostic imaging ; Third Ventricle/pathology ; Ventriculostomy/adverse effects |
| مستخلص: | Background: Magnetic resonance imaging (MRI) is the "gold standard" method for the evaluation of hydrocephalus. However, diagnosing an obstruction in the ventricular or subarachnoid spaces may pose a challenge for standard diagnostic sequences. In this study, we describe our experience with MRI cisternography (MRIC) or ventriculography (MRIV) for diagnosing or excluding intra- and extraventricular obstructions. Such a differentiation may have a significant impact on choosing the optimal surgical solution. Methods: We retrospectively collected data on patients undergoing MRIC/MRIV for diagnosing or excluding obstructions in patients with ventriculomegaly. All patients had MRI suggesting an obstruction, but without a clear cause. Results: Five children aged 1-17 years were included (3 females). Four underwent an MRIV, and 1 underwent an MRIC. Three children presented with headaches and had a suspected prior endoscopic third ventriculostomy (ETV) failure, and 2 presented with macrocephalus and increasing head circumferences. MRIV showed a patent ETV stoma in 2 cases, one of which had a T2 SPACE MRI showing no flow void through the stoma, and a closed stoma in 1 case with a flow void above and below the stoma on T2 SPACE MRI. MRIV and MRIC differentiated between two cases with panventriculomegaly, one of which had an obstruction at the level of the Liliequist membrane, and another with no identifiable obstruction. Conclusions: MRIC and MRIV have a complementary role to MRI in assessing selected patients with hydrocephalus suspected of being secondary to an obstruction, but with no clear obstruction location. (© 2019 S. Karger AG, Basel.) |
| فهرسة مساهمة: | Keywords: Cisternography; Endoscopy; Hydrocephalus; Magnetic resonance imaging; Obstruction; Shunt; Ventriculography |
| تواريخ الأحداث: | Date Created: 20190315 Date Completed: 20200129 Latest Revision: 20200129 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1159/000497147 |
| PMID: | 30870836 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1423-0305 |
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| DOI: | 10.1159/000497147 |