Advances in the Diagnosis and Treatment of Slit Ventricle Syndrome

Xu KANG; Ruo-ping CHEN; Xiao-qiang WANG

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

Volume 42 Issue 5

May 2021

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Xu KANG, Ruo-ping CHEN, Xiao-qiang WANG. Advances in the Diagnosis and Treatment of Slit Ventricle Syndrome[J]. Journal of Kunming Medical University, 2021, 42(5): 154-158. doi: 10.12259/j.issn.2095-610X.S20210528

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Xu KANG, Ruo-ping CHEN, Xiao-qiang WANG. Advances in the Diagnosis and Treatment of Slit Ventricle Syndrome[J]. Journal of Kunming Medical University, 2021, 42(5): 154-158. doi: 10.12259/j.issn.2095-610X.S20210528

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Advances in the Diagnosis and Treatment of Slit Ventricle Syndrome

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

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

Received Date: 2021-03-14
Available Online: 2021-06-03
Publish Date: 2021-05-20

Abstract

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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References(32)

References

[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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