VENTRICULO-SINUS TRANSVERSAL SHUNT IN THE TREATMENT OF DECOMPENSATED HYDROCEPHALUS IN CHILDREN (THE RESULTS OF CLINICAL TESTING OF THE METHOD)

The analysis of the results of the implantation of a shunt system between the lateral ventricle and the transverse sinus in hydrocephalus in children, the treatment of which the use of other CSF-shunting operations proved ineffective or impractical.

Materials and methods. 50 patients aged from 2 months to 17 years, with decompensated internal hydrocephalus was performed anastomosis between the lateral ventricle and the transverse sinus, through the implantation of the valve low-pressure system or a programmable system with low values of the valve settings. The result of operations is determined by evaluating the dynamics of quantitative clinical and manifestations of hydrocephaly and hypertensive syndrome.

Results. In all cases, it was a severe ventriculomegaly and hypertensive syndrome. In all cases, the use of ventriculoatriostomy and ventriculoperitoneostomy proved ineffective or impractical. As a result of the treatment, stabilization of the patients, and the manifestations of decompensated hydrocephalus regression was achieved in 38 of 50 children (76%). In the remaining 12 patients on the background of a functioning shunt preserved manifestations of hydrocephalus, a condition seen as hypodraige. According to our data, hypоdraige manifestations were more common in cases where the venous pressure was high and equal to us certain values liquor pressure in the patient.

Conclusion. Ventriculo-sinus transversal shunt may be the method of choice for the treatment of decompensated hydrocephalus in cases where the application of classical operations is not advisable. We consider it appropriate intraoperative assessment of venous pressure in the sinus, as well as the correlation with intraventricular pressure.

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