Indian Journal of Science and Technology

Open Access Open Access  Restricted Access Subscription Access

A New Technique for Restoring Cerebrospinal Fluid Circulation


Affiliations
1 Dept. of Neurology, Affiliated Lianyungang Hospital, Medical College of Xuzhou, Tongguan north road, Xinpu district, Lianyungang City, China
 

This study aims to observe the efficacy of a new recovery technology of cerebrospinal fluid flow obstacle for the treatment of subarachnoid haemorrhage with intracranial aneurysms, and review the overview of this new technology and new surgical instruments. Methods: Fifth patients with subarachnoid haemorrhage caused by intracranial aneurysms, whose the HUNT-HESS were grade 2~4. According to the operation methods of a coaxial catheter in vascular intervention, author envisaged that insert some specialized utensils into subarachnoid cavity to carry out thrombolysis, intelligence mechanical shunt of cerebrospinal fluid through lumbar puncture under the DSA watching to achieve an aim of resuming cerebrospinal fluid (CSF) and rebuilding CSF circulation. Results: Seven consciousness disorder patients awaked in 8 to 26 hours after treatment by this technique, 15 patients were cured, no patient died and no any complication. Our observation suggests that the new technology restoring cerebrospinal fluid circulation on the treatment of subarachnoid haemorrhage with intracranial aneurysm is efficacy, worthy of further clinical observation.

Keywords

Cerebrospinal Fluid, Circulation, Intervention, Restore
User

  • Smith R (2001) Answering deaths's questions. BMJ. 322 (9), Editorial page.

  • Barrett Sugarman and Michael Massanari R (1980) Candida Meningitis in Patients With CSF Shunts. Arch Neurol. 37(3), 180-181.

  • Catharine A Hellingman, Walter M van den Bergh and Inge S Beijer (2007) Risk of rebleeding after treatment of acute hydrocephalus in patients with aneurysmal subarachnoid haemorrhage. Stroke. 38(1), 96-99.

  • Daniel F Hanley (2009) Intraventricular haemorrhage: Severity Factor and Treatment Target in Spontaneous Intracerebral haemorrhage. Stroke. 40(4), 1533-1538.

  • Fieschi C, Carolei A and Fiorelli M (1988) Changing prognosis of primary intracerebral haemorrhage: results of a clinical and computed tomographic follow-up study of 104 patients. Stroke. 19(11), 192-195.

  • Guthkelch AN and Riley NA (1969) Influence of aetiology in prognosis in surgically treated infatnile hydrocephalus. Arch. Dis. Child. 44(9), 29-35.

  • Hallevi H, Albright KC and Aronowski J (2008) Intraventricular haemorrhage: Anatomic relationships and clinical implications. Neurology. 70(3), 848 - 852.

  • Hasan D, Lindsay KW and Vermeulen M (1991) Treatment of acute hydrocephalus after subarachnoid haemorrhage with serial lumbar puncture. Stroke. 22(9), 190-194.

  • Kingsley DP, Hendrickse WA, Kendall BE, Swash M and Singh V (1987) Tuberculous meningitis: role of CT in management and prognosis. J. Neurol. Neurosurg. Psychiatry. 50(1), 30-36.

  • Koffijberg H, Buskens E and Granath F (2008) Subarachnoid haemorrhage in Sweden 1987-2002: regional incidence and case fatality rates. J. Neurol. Neurosurg. Psychiatry. 79(3), 294 – 299.

  • Longatti P, Fiorindi A, Di Paola F, Curtolo S, Basaldella L and Martinuzzi A (2006) Coiling and neuroendoscopy: a new perspective in the treatment of intraventricular haemorrhages due to bleeding aneurysms. J. Neurol. Neurosurg. Psychiatry. 77(12), 1354-1358.

  • Manno EM, Atkinson JLD, Fulgham JR and Wijdicks (2005) EFM Emerging Medical and Surgical Management Strategies in the Evaluation and Treatment of Intracerebral haemorrhage. Mayo Clin. Proc. 80(3), 420-433.

  • McCarron MO, Alberts MJ and McCarron P (2004) A systematic review of Terson’s syndrome: frequency and prognosis after subarachnoid haemorrhage. J. Neurol. Neurosurg. Psychiatry. 75 (3), 491-493.

  • Ninan T Mathew, John S Meyer, Alexander Hartmann and Erwin O Ott (1975) Abnormal Cerebrospinal Fluid-Blood Flow Dynamics: Implications in Diagnosis, Treatment, and Prognosis in Normal Pressure Hydrocephalus. Arch. Neurol. 32(10), 657-664.

  • Powell J, Kitchen N, Heslin J and Greenwood R (2002) Psychosocial outcomes at three and nine months after good neurological recovery from aneurysmal subarachnoid haemorrhage: predictors and prognosis. J. Neurol. Neurosurg. Psychiatry. 72(6), 772- 781.

  • Ralph L Sacco, Philip A Wolf and Nadir E Bharucham (1984) Subarachnoid and intracerebral haemorrhage: Natural history, prognosis, and precursive factors in the Framingham study. Neurology. 34(7), 847.

  • Tien T Nguyen, Mark V Smith, Gerard S Rodziewicz and Sheila M Lemke (1999) Hydrocephalus caused by metastatic brain lesions: treatment by third ventriculostomy. J. Neurol. Neurosurg. Psychiatry. 67(10), 552-553.

  • Wang HC, Chang WN and Lui CC (2005) The prognosis of hearing impairment complicating HIV-negative cryptococcal meningitis. Neurology. 65(6), 320-322.

  • Whitelaw A, Creighton L and Gaffney P (1991) Fibrinolysis in cerebrospinal fluid after intraventricular haemorrhage. Arch. Dis. Child. 66(7), 808-809.


Abstract Views: 463

PDF Views: 104




  • A New Technique for Restoring Cerebrospinal Fluid Circulation

Abstract Views: 463  |  PDF Views: 104

Authors

Mingli He
Dept. of Neurology, Affiliated Lianyungang Hospital, Medical College of Xuzhou, Tongguan north road, Xinpu district, Lianyungang City, China

Abstract


This study aims to observe the efficacy of a new recovery technology of cerebrospinal fluid flow obstacle for the treatment of subarachnoid haemorrhage with intracranial aneurysms, and review the overview of this new technology and new surgical instruments. Methods: Fifth patients with subarachnoid haemorrhage caused by intracranial aneurysms, whose the HUNT-HESS were grade 2~4. According to the operation methods of a coaxial catheter in vascular intervention, author envisaged that insert some specialized utensils into subarachnoid cavity to carry out thrombolysis, intelligence mechanical shunt of cerebrospinal fluid through lumbar puncture under the DSA watching to achieve an aim of resuming cerebrospinal fluid (CSF) and rebuilding CSF circulation. Results: Seven consciousness disorder patients awaked in 8 to 26 hours after treatment by this technique, 15 patients were cured, no patient died and no any complication. Our observation suggests that the new technology restoring cerebrospinal fluid circulation on the treatment of subarachnoid haemorrhage with intracranial aneurysm is efficacy, worthy of further clinical observation.

Keywords


Cerebrospinal Fluid, Circulation, Intervention, Restore

References





DOI: https://doi.org/10.17485/ijst%2F2010%2Fv3i3%2F29685