Neurol. pro Praxi, 2002; 5: 266-270

Programovateľné a neprogramovateľné ventily pri liečbe hydrocefalu: šesťročné skúsenosti

MUDr. Ján Šulaj, doc. MUDr. Miroslav Galanda CSc, MUDr. František Patráš, MUDr. Alexander Béreš
Neurochirurgická klinika SPAM, Rooseveltova NsP, Banská Bystrica

Published: December 31, 2002  Show citation

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Šulaj J, Galanda M, Patráš F, Béreš A. Programovateľné a neprogramovateľné ventily pri liečbe hydrocefalu: šesťročné skúsenosti. Neurol. praxi. 2002;3(5):266-270.

Hodnotíme vlastné šesťročné skúsenosti s používaním ventilov Codman Hakim a to bez možnosti nastavenia otváracieho tlaku, s pevne definovanou rezistenciou ku ventilom s programovateľným, teda variabilným otváracím tlakom. Obidva pracujú na tom istom princípe. Od r. 1994 sme implantovli 85 ventilov Codman Hakim u 79 pacientov novorodeneckého, detského i dospelého veku. Pri výbere vhodného ventilu sme brali do úvahy etiológiu hydrocefalu, celkový stav pacienta, jeho prognózu ako i predchádzajúce vstupy do likvorového priestoru. Pomer programovateľných ventilov k neprogramovateľným bol 38:47. Vyhodnocovali sme efektívnosť drenáže, klinický stav predoperačne a pooperačne, skoré i neskoré komplikácie. Pri detskom hydrocefale, normotenznom hydrocefale ako i hydrocefale po kraniocerebrálnej traume, subarachnoidálnom krvácaní a pri arachnoidálnych cystách sa nám osvedčili ventily s variabilným otváracím tlakom, u ktorých možno neinvazívne podľa potreby prestaviť otvárací tlak a tým nastaviť optimálne drénovanie. U pacientov s obštrukčným hydrocefalom pri nádorovom ochorení CNS sú vhodné ventily s pevne nastaveným otváracím tlakom.

Kľúčové slová

hydrocefalus, programovateľný ventil, neprogramovateľný ventil, mozgomiešny mok.

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