裂隙脑室综合征的诊断治疗新进展

康旭; 陈若平; 王晓强

doi:10.12259/j.issn.2095-610X.S20210528

裂隙脑室综合征的诊断治疗新进展

doi: 10.12259/j.issn.2095-610X.S20210528

上海交通大学医学院附属新华医院儿神经外科，上海　200092

基金项目: 国家自然科学基金资助项目（21974088）

详细信息

作者简介:
康旭，（1997～），男，黑龙江黑河人，在读硕士研究生，主要从事小儿神经先天性疾病相关研究工作

通讯作者:
陈若平，E- mail：rubinchen@126.com

王晓强，E- mail：wangxiaoqiang419@163.com

中图分类号: R726.5
计量
- 文章访问数: 2677
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- PDF下载量: 15
- 被引次数: 0
出版历程
- 收稿日期: 2021-03-14
- 网络出版日期: 2021-06-03
- 刊出日期: 2021-05-20

Advances in the Diagnosis and Treatment of Slit Ventricle Syndrome

Dept. of Pediatric Neurosurgery，Xinhua Hospital，Shanghai Jiaotong University School of Medicine，Shanghai 200092，China

摘要

摘要: 此前文献报道，有脑积水或蛛网膜囊肿病人行腹腔分流术后出现裂隙脑室综合征，表现为间歇性头疼以及脑室狭小。目前对裂隙脑室综合征的发病机理及治疗方法尚未深入，其对神经外科医生来说仍然是一个挑战，仍需进一步研究。综述了裂隙脑室综合征的病因、病理生理、临床表现、诊断及其治疗。
- 裂隙脑室综合征 /
- 过度分流 /
- 脑积水 /
- 蛛网膜囊肿 /
- 颅内压
Abstract: Published reports have suggested that patients previously shunted for hydrocephalus or arachnoid cyst may appear slit ventricle syndrome presenting with intermittent headache and narrow ventricles. At present, the pathogenesis and treatment of slit ventricle syndrome have not been thoroughly studied, which is still a challenge for neurosurgeons. This paper aims to review its etiology, pathophysiology, clinical manifestations, diagnosis and treatment.
- Slit ventricle syndrome /
- Overdrainage /
- Hydrocephalus /
- Arachnoid cyst /
- Intracranial pressure

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参考文献(32)

[1]	WALKER M L,FRIED A,PETRONIO J. Diagnosis and treatment of the slit ventricle syndrome[J]. Neurosurgery clinics of North America,1993,4(4):707-714. doi: 10.1016/S1042-3680(18)30560-6
[2]	REKATE H L. Shunt-related headaches:The slit ventricle syndromes[J]. Childs Nerv Syst,2008,24(4):423-430. doi: 10.1007/s00381-008-0579-7
[3]	Koueik J,Kraemer M R,Hsu D,et al. A 12-year single-center retrospective analysis of antisiphon devices to prevent proximal ventricular shunt obstruction for hydrocephalus[J]. Journal of Neurosurgery Pediatrics,2019,24(6):1-10.
[4]	Sokratous G,Hadfield O,Tonder L V,et al. Management of paediatric hydrocephalous with Miethke fixed pressure gravitational valves. The alder hey children's hospital experience[J]. Child s Nervous System,2020,36(9):2021-2025. doi: 10.1007/s00381-020-04520-x
[5]	Burke R M,Chen C J,D Ding,et al. Early obliteration of pediatric brain arteriovenous malformations after stereotactic radiosurgery:An international multicenter study[J]. Journal of Neurosurgery Pediatrics,2020,26(4):1-8.
[6]	CHEOK S,CHEN J,LAZAREFF J. The truth and coherence behind the concept of overdrainage of cerebrospinal fluid in hydrocephalic patients[J]. Childs Nerv Syst,2014,30(4):599-606. doi: 10.1007/s00381-013-2327-x
[7]	SANDLER A L,GOODRICH J T,DANIELS L B,3RD,et al. Craniocerebral disproportion:A topical review and proposal toward a new definition,diagnosis,and treatment protocol[J]. Childs Nerv Syst,2013,29(11):1997-2010. doi: 10.1007/s00381-013-2257-7
[8]	REKATE H L. Hydrocephalus in infants:The unique biomechanics and why they matter[J]. Childs Nerv Syst,2020.
[9]	ROS B,IGLESIAS S,MARTíN Á,et al. Shunt overdrainage syndrome:Review of the literature[J]. Neurosurgical review,2018,41(4):969-981. doi: 10.1007/s10143-017-0849-5
[10]	NAGATA Y,TAKEUCHI K,KATO M,et al. The "steppingstone" phenomenon:A new endoscopic finding in slit-ventricle syndrome[J]. Childs Nerv Syst,2016,32(11):2265-2268. doi: 10.1007/s00381-016-3124-0
[11]	BARAMI K. Cerebral venous overdrainage:An under-recognized complication of cerebrospinal fluid diversion[J]. Neurosurgical Focus,2016,41(3):E9. doi: 10.3171/2016.6.FOCUS16172
[12]	SAINZ L V,HOCKEL K,SCHUHMANN M U. Chronic overdrainage syndrome:Pathophysiological insights based on ICP analysis:a case-based review[J]. Childs Nerv Syst,2018,34(3):401-408. doi: 10.1007/s00381-017-3650-4
[13]	Weinzweig J,Bartlett S P,Chen J C,et al. Cranial vault expansion in the management of postshunt craniosynostosis and slit ventricle syndrome[J]. Plastic & Reconstructive Surgery,2008,122(4):1171-1180.
[14]	KIESLER J,RICER R. The abnormal fontanel[J]. American Family Physician,2003,67(12):2547-2552.
[15]	PARDRIDGE W M. CSF,blood-brain barrier,and brain drug delivery[J]. Expert Opinion On Drug Delivery,2016,13(7):963-975. doi: 10.1517/17425247.2016.1171315
[16]	JANG M,YOON S H. Hypothesis for intracranial hypertension in slit ventricle syndrome:New concept of capillary absorption laziness in the hydrocephalic patients with long-term shunts[J]. Med Hypotheses,2013,81(2):199-201. doi: 10.1016/j.mehy.2013.05.003
[17]	Agarwal N,Vernier E,Ravenscroft S,et al. Slit ventricle syndrome:A case report of intermittent intracranial hypertension.[J]. Journal of Child Neurology,2013,28(6):781-783. doi: 10.1177/0883073812449905
[18]	Kulkarni A V,Shams I,DD Cochrane,et al. Quality of life after endoscopic third ventriculostomy and cerebrospinal fluid shunting:An adjusted multivariable analysis in a large cohort.[J]. Journal of Neurosurgery Pediatrics,2010,6(1):11-16. doi: 10.3171/2010.3.PEDS09358
[19]	MARUPUDI N I,HARRIS C,PAVRI T,et al. The role of lumboperitoneal shunts in managing chronic hydrocephalus with slit ventricles[J]. J Neurosurg Pediatr,2018,22(6):632-637. doi: 10.3171/2018.6.PEDS17642
[20]	RIVEROS GILARDI B,MUñOZ LóPEZ J I,HERNáNDEZ VILLEGAS A C,et al. Types of cerebral herniation and their imaging features[J]. Radiographics:A review publication of the Radiological Society of North America,Inc,2019,39(6):1598-1610. doi: 10.1148/rg.2019190018
[21]	DONG F,WANG Z,LI Y,et al. Shunt dependency syndrome after cyst-peritoneal shunt resolved by keyhole microsurgical cyst resection:Two case reports and literature review[J]. Neuropediatrics,2018,49(5):310-313. doi: 10.1055/s-0038-1661395
[22]	CHO S M,PARK D H,YOON S H. Continuous intracranial pressure monitoring in 24 microcephalic children with developmental delay:A significant portion of microcephalic children with developmental delay have high intracranial pressure[J]. World Neurosurg,2019,123(3):e760-e765.
[23]	BATEMAN G A. Hypertensive slit ventricle syndrome:Pseudotumor cerebri with a malfunctioning shunt?[J]. Journal of neurosurgery,2013,119(6):1503-1510. doi: 10.3171/2013.7.JNS13390
[24]	ZERVOS T,WALTERS B C. Diagnosis of ventricular shunt infection in children:A systematic review[J]. World Neurosurg,2019,129(9):34-44.
[25]	MAROULIS H,HALMAGYI G M,HEARD R,et al. Sylvian aqueduct syndrome with slit ventricles in shunted hydrocephalus due to adult aqueduct stenosis[J]. Journal of Neurosurgery,2008,109(5):939-943. doi: 10.3171/JNS/2008/109/11/0939
[26]	KRAEMER M R,SANDOVAL-GARCIA C,BRAGG T,et al. Shunt-dependent hydrocephalus:Management style among members of the American Society of Pediatric Neurosurgeons[J]. J Neurosurg Pediatr,2017,20(3):216-224. doi: 10.3171/2017.2.PEDS16265
[27]	AGARWAL N,SHUKLA R M,AGARWAL D,et al. Pediatric ventriculoperitoneal shunts and their complications:An analysis[J]. Journal of Indian Association of Pediatric Surgeons,2017,22(3):155-157. doi: 10.4103/0971-9261.207624
[28]	Changa A R,Czeisler B M,Lord A S. Management of elevated intracranial pressure:A review[J]. Current Neurology and Neuroscience Reports,2019,19(12):99-109. doi: 10.1007/s11910-019-1010-3
[29]	PARK S W,YOON S H,CHO K H,et al. Valve pressure upgrade may produce progressive deterioration of vision in children with slit ventricle syndrome[J]. Pediatric neurosurgery,2007,43(5):428-432. doi: 10.1159/000106398
[30]	ZHENG J,CHEN G,XIAO Q,et al. Endoscopy in the treatment of slit ventricle syndrome[J]. Experimental and therapeutic medicine,2017,14(4):3381-3386. doi: 10.3892/etm.2017.4973
[31]	CRAVEN C L,PRADINI-SANTOS L,GOEL A,et al. Approach to slitlike ventricles:Parietal-occipital versus frontal burr catheter entry sites[J]. World Neurosurg,2020,135(2):e447-e451.
[32]	LEE R P,AJMERA S,THOMAS F,et al. Shunt failure-the first 30 days[J]. Neurosurgery,2020,87(1):123-129. doi: 10.1093/neuros/nyz379

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