By Concezio Di Rocco, Mario Rende (auth.), Satoshi Matsumoto M.D., Kiyoshi Sato M.D., Norihiko Tamaki M.D., Shizuo Oi M.D. (eds.)

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Extra info for Annual Review of Hydrocephalus: Volume 6 1988

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Diagnostic Procedures 53 essential to demonstrate correct placement of the ventricular catheter, thus avoiding misinterpretation by drainage via the basal cisterns. In 1986, we performed CT ventriculography as described electively in 15 patients, all with external or internal ventricular drainage, whose free passage of CSF into the craniospinal subarachnoid spaces had to be clarified. CSF passage was found to be unhindered in 13 of the 15 patients. Two had an occlusive hydrocephalus. Moreover, in one of our patients CT ventriculography proved CSF drainage via two Torkildsen catheters (Figure) , and in another intact drainage of both lateral ventricles through the foramen of Monro , whereas conventional ventriculography had failed in both cases.

The pineal gland (Pi) is outlined. 34 Annual Review 0/ Hydrocephalus Pathophysiological and Clinical Features of "Destruction Hydrocephalus" Saburo NAKAMURA and Takashi TSUBOKAWA Department of Neurosurgery, Nihon University School of Medicine , Tokyo, Japan We presented 4 cases with "destruction hydrocephalus" and pathophysiological and clinical features were studied. Intracerebral hemorrhage with ventricular perforation, meningitis with cerebritis and severe cerebral contusion are thought to be causative pathological states of destruction hydrocephalus.

At age 6 hydrocephalus was first noted and ventriculoperitoneal shunt was inserted. This has required several revisions . His most recent hospital admission was occasioned by compressive cervical myelopathy secondary to congenital osteopetrosis of the upper cervical vertebrae. CT examination of the skull revealed an extremely thickened calvarium with obliteration of the subarachnoid spaces . It is possible that obliteration of subarachnoid spaces by skeletal enlargement may be one of the possible mechanisms for hydrocephalus in osteopetrosis.

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