Journal
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
Volume 25, Issue -, Pages 142-145Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1017/S0265021507003249
Keywords
cerebrospinal fluid; hydrocephalus; intracranial pressure; fluid dynamics
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Funding
- Medical Research Council [G0600986, G0001237, G9439390] Funding Source: Medline
- MRC [G0001237, G0600986, G9439390] Funding Source: UKRI
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Since shunting is almost a purely mechanical treatment that radically affects pressure-volume compensation, patients' cerebrospinal fluid hydrodynamics compensation should be examined before a shunt is implanted. Apart from an opening pressure and a resistance to cerebrospinal fluid outflow, pulse amplitude of intracranial pressure and the content of vasogenic waves are useful to gauge cerebrospinal fluid dynamics. Infusion studies, although invasive, may help with the decision about surgery. They also provide basic information for further management of shunted patients, when complications, such as shunt blockage, under- and over-drainage, arise.
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