Slit Ventricle Syndrome

Last update 01 Nov 2024

Basic Info

Synonyms

Slit Ventricle Syndrome, Slit Ventricle Syndromes, Slit ventricle syndrome

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Introduction

An intermittent and self-limiting headache disorder in individuals with CEREBROSPINAL FLUID SHUNTS emplaced for the treatment of HYDROCEPHALUS. The symptoms of headache, vomiting, and cranial neuropathies are associated with intermittent obstruction of the shunt.

100 Clinical Results associated with Slit Ventricle Syndrome

100 Translational Medicine associated with Slit Ventricle Syndrome

0 Patents (Medical) associated with Slit Ventricle Syndrome

187

Literatures (Medical) associated with Slit Ventricle Syndrome

01 Jan 2024·Child's Nervous System

Positional shunt assist for slit ventricle syndrome

Review

Author: Roth, Jonathan ; Constantini, Lahav ; Azolai, Lee ; Constantini, Shlomi

PURPOSEHydrocephalus is one of the most common pathologies in pediatric neurosurgery. One of the causes of recurring events of headaches among shunted children is "slit ventricle syndrome" (SVS). Several potential treatments have been proposed, yet SVS often represents a treatment challenge. The goal of the current series is to present our experience with adding a positional shunt-assist (SA) (Miethke, Aesculap) for the treatment of SVS.METHODSClinical data was retrospectively collected from all consecutive children with SVS that were treated with SA (Miethke, Aesculap) at our center. Surgical and clinical outcomes as expressed by hospital visits, or need for additional surgery, were evaluated.RESULTSNine cases were included. Hydrocephalus etiology included IVH (6), postinfectious (1), and congenital syndromes (2). Average age at first shunt was 4 months. Primary shunt type was differential-pressure-valve in all. Average age at SVS onset was 4 years. Average age at SA placement was 5.5 years. There were no perioperative complications besides a single stich abscess. A 6-month follow-up period after SA was compared to a 6-month period prior to the SA: average hospital visits decreased from 2.4 to 0.6 per patient (p < 0.0002). 4/9 patients needed an LP or shunt revision before the SA surgery, while no procedure was indicated during the immediate 6-month follow-up. At the last follow-up, there was a significant reduction in the rate of ER visits compared to prior to surgery; however, the number of neurosurgical procedures did not significantly differ.CONCLUSIONUsing a SA for SVS was associated with a short-term improvement of symptoms in the majority of cases, reduction in hospital visits, and reduced need for SVS-related procedures.

01 Aug 2023·Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

Noninvasive intracranial pressure monitoring throughout brain compliance guiding a ventriculoperitoneal shunt replacement in hydrocephalus-case report.

Article

Author: Hayashi, Cintya Yukie ; Zanon, Nelci ; Frigieri, Gustavo ; Coelho, Giselle ; Hoesker, Thiago ; da Costa Benalia, Victor Hugo

INTRODUCTIONVentriculoperitoneal (VP) shunt is the primary therapy for hydrocephalus in children; however, this technique is amenable to malfunctions, which could be detected through an assessment of clinical signs and imaging results. Furthermore, early detection can prevent patient deterioration and guide clinical and surgical treatment.CASE PRESENTATIONA 5-year-old female with a premedical history of neonatal IVH, secondary hydrocephalus, multiple VP shunts revisions, and slit ventricle syndrome was evaluated using a noninvasive intracranial pressure monitor device at the early stages of the clinical symptoms, evidencing increased intracranial pressure and poor brain compliance. Serial MRI images demonstrated a slight ventricular enlargement, leading to the use of a gravitational VP shunt, promoting progressive improvement. On the follow-up visits, we used the noninvasive ICP monitoring device to guide the shunt adjustments until symptom resolution. Furthermore, the patient has been asymptomatic for the past 3 years without requiring new shunt revisions.DISCUSSIONSlit ventricle syndrome and VP shunt dysfunctions are challenging diagnoses for the neurosurgeon. The noninvasive intracranial monitoring has allowed a closer follow-up assisting early assessment of brain compliance changes related to a patient's symptomatology. Furthermore, this technique has high sensitivity and specificity in detecting alterations in the intracranial pressure, serving as a guide for the adjustments of programmable VP shunts, which may improve the patient's quality of life.CONCLUSIONNoninvasive ICP monitoring may lead to a less invasive assessment of patients with slit ventricle syndrome and could be used as a guide for adjustments of programmable shunts.

01 Apr 2023·Operative Neurosurgery

Commentary: Extra-Axial Endoscopic Third Ventriculostomy for the Treatment of Slit Ventricle Syndrome: 2-Dimensional Operative Video

Article

Author: Duquette, Elizabeth R. ; Zada, Gabriel ; Donoho, Daniel A.

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