| 방사성동위원소 조조영설 소견의 유형적 분류 및 교통성수두증에서 유형에 따른 단락수술의 치료효과의 차이 |
| 전범석, 명호진, 김상은, 정준기, 고창순 |
| 서울대학교 신경과, 내과. |
| Patterns of Radioisotope Cisternographic Findings
(Correlation Between Preoperative Patterns and the Results of ?Surgical Shunting in Patients with Communicating Hydrocephalus) |
| Beom-Seok Jeon, M.D., Ho-Jin Myung, M.D., Sang-Eun Kim, M.D.*, June-Key Chung, M.D.*, Chang-Soon Koh, M.D.* |
| Department of Neurology & Internal Medicine*, Medical College, Seoul Nastional University |
|
|
|
|
| Abstract |
|
During the period from November 1982 to April 1986, a radioisotope cisternography was conducted on 29 patients with hydrocephalus at Seoul National University Hospital, and a ventriculoperitoneal shunting was performed on 15 patients. To correlate the preoperative radioisotope cisternography patterns with the results of ventriculoperitoneal shunting, we classified the radioisotope cisternography findings into five patterns and compared them with the surgical results.
The cisternographic patterns are as follows:
Type I: No ventricular activity, normal migration,
Type II: No ventricular activity, delayed migration,
Type III-A: Transient ventricular activity, clearance by usual migration,
Type III-B: Transient ventricular activity, clearance without usual migration,
Type IV: Persistent ventricular activity, inadequate clerance.
All patients operated on were Type III(seven patients) or Type IV(eight patients).
Of the eight Type IV patients, seven (88%) showed clinical improvements within two
weeks after the shunting, while an improvement occurred in only one (14%) of seven
Type III patients. We have concluded that when there is a prolonged ventricular
retention of the isotope, the surgical shunting is successful suggesting that the
radioisotope cisternography has a significant preoperative prognostic value. " |
|
PDF Links
Full text via DOI
Download Citation
