Abstract
Radioisotope studies of the cerebrospinal fluid pathways are widely used in the screening of potentially hydrocephalic patients and evaluation of all kinds of hydrocephalus (1, 4, 10, 12, 17, 23, 26). In most instances the results of these studies are used to illustrate the anatomical and dynamic conditions of the third circulation (3, 6, 7, 8, 9, 16, 28, 29, 30, 42, 46). Everyday use of these methods during the last 11 years has convinced us that they are very sensitive from both points of view. They are of utmost importance when deciding for or against an operative shunting procedure (11, 12, 17, 23, 27, 31, 40, 45). It should not be forgotten, however, that these methods do not give definite answers in the analysis of intermediate phenomena. Men in general, and neurosurgeons in particular, are constantly searching for absolute and well-defined criteria for decision making in dubious circumstances. They are prepared to trust the most sophisticated and improbable test if this gives them clear cut answers. Sometimes they seem as if they were attempting the impossible. Even if presented as “the only reliable”, or, more simply, as “far more trustful than radioisotope studies”, physiological tests, carried out with human subjects (and, therefore, mostly uncontrollable) cannot provide valid, clear cut information in an indefinable state.
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References
AKERMAN, M., DEROME, P., GUIOT, G.: Le transit radio-isotopique dans les hydrocéphalies. Neuro-chirurgie (Paris) 16, 117–126 (1970).
APPENZELLER, O., SALMON, J.H.: Treatment of parenchymatous degeneration of the brain by ventriculo-atrial shunting of the cerebrospinal fluid. J. Neurosurg. 26, 478–482 (1967).
ASHBURN, W.L., DI CHIRO, G.: Radioisotope cisternography and ventriculography. In: Radionucleide Applications in Neurology; and Neurosurgery edited by Yen Wang and Pietro Paoletti. Springfield: Charles C. Thomas 1970.
BENSON, F., LEMAY, M., PATTEN, D.H., RUBENS, A.B.: Diagnosis of normal-pressure hydrocephalus. New Engl. J. Med. 283, 609–615 (1970).
DI CHIRO, G.: New radiographic and isotopic procedures in neurological diagnosis. JAMA 188, 524–529, May 11 (1964).
DI CHIRO, G.: Movement of the cerebrospinal fluid in human beings. Nature (London) 204, 290–291, October 17 (1964).
DI CHIRO, G., REAMES, P.M., MATTHEWS, W.R., Jr.: RISA-ventriculo-graphy and RISA-cisternography. Neurology (Minneap.) 14, 185–191 (1964).
DI CHIRO, G., ASHBURN, W.L., BRINER, W.H.: RISA ventriculography and RISA cisternography. Neurology (Minneap.) 14, 185–191 (1964).
DI CHIRO, G.: Observations on the circulation of the cerebrospinal fluid. Acta Radiol. (Diag) 5, 988–100” (1966).
FOROGLOU, G., ZANDER, E.: Nos expériences avec l’hydrocéphalie interne communicante. Arch. s. Neurol. Neurochir. Psychiat. 115, 291–303 (1974).
HALPERN, S.E., ASHBURN, W.L., ALAZRATI, N.P.: Radionuclide cisternography prediction of clinical results of neurosurgical shunting in patients with communicating normal pressure hydrocephalus -fact or fantasy. J. nuclear Med. 15, 465–466 (1974).
HAMMOCK, M.K., MILHORAT, Th.H., DAVIS, D.A.: Isotope cisternography and ventriculography in the diagnosis of hydrocephalus. Hydrocephalus and Spina bifida. Supplem. 32 pp. 58–71.
HARBERT, J.C.: Radionuclide cisternography. Seminars in nuclear medicine 1, 90–106 (1971).
HARBERT, J.C., HAMES, A.E.: Posterior fossa abnormalities demonstrated by cisternography. J. nuclear Med. 13, 73–80 (1972).
HEINZ, E.R., DAVIS, D.O., KARP, H.R.: Abnormal isotope cisternography in symptomatic occult hydrocephalus. Radiol. 95, 109–120 (1970).
JAMES, A.E., Jr., DELAND, F.H., HODGES, F.J., WAGNER, H.N., Jr.; NORTH, W.A.: Cerebrospinal fluid (CSF) Scanning: cisternography. Am. J. Roentgenol. 101, 74–87 (1970).
JAMES, A.E., DELAND, F.H., HODGES, D.J. et coll.: Normal-pressure hydrocephalus. Role of cisternography in diagnosis. JAMA 213, 1615–1622 (1970).
JAMES, A.E., HURLEY, P.J., HELLER, R.M. et coll.: CSF imaging (cisternography) in pediatric patients. Ann. Radiol. 14, 591–600 (1971).
JAMES, A.E., FLOR, W.J., MERZ, T. et coll.: A pathophysiologic mechanism for ventricular entry of radiopharmaceutical and possible relation to chronic communicating hydrocephalus. Am. J. Roentgenol. 122, 38–43 (1974).
KIEFFER, S.A., WOLFF, J.M., PRESSTICE, W.B. et coll.: Scinticis-ternography in individuals without known neurological disease. Am. J. Roentgenol. 112, 225–236 (1971).
KIEFFER, S.A., WOLFF, J.M., WESTREICH, G.: The borderline scinti-cisternogram. Radiology 106, 133–140 (1973).
LANG, J.: Die äußeren Liquorräume des Gehirns. Acta anat. 86, 267–299 (1973).
LEMAY, M., NEW, P.F.J.: Pneumoencephalography and isotope cisternography in the diagnosis of occult normal pressure hydrocephalus. Radiology 96, 147–358 (1970).
LIN, J.T.P., GOODKIN, R., TONG, E.C.K. et coll.: Radioiodinated serum albumin (RISA) cisternography in the diagnosis of incisural block and occult hydrocephalus. Radiology 90, 36–41 (1968).
MALLARD, J.: The radionuclide imaging process and factors influencing the choice of an instrument for brain scanninf. Progr. nucl. Med. 1, 1–114 (1972).
MARTINI, T., OBERSON, R.: Cisternographie radio-isotopique chez les hydrocéphalues posttraumatiques. Contribution à l’étude de la dynamique pathologique du LCR. Acta radiol. Diagn. 9, 635–644 (1969).
McCULLOUGH, D.C., HARBERT, J.C., DI CHIRO, G., OMMAYA, A.K.: Prognostic criteria for CSF shunting from isotope cisternography in communicating hydrocephalus. Neurology (Minneap.).20, 594–598 (1970).
MILHORAT, Th.H., CLARK, R.G.: Some observations on the circulation of phenolsulfonphtalein in cerebrospinal fluid: normal flow and the flow in hydrocephalus. J. Neurosurg. 32, 522–528 (1970).
MILHORAT, Th.H., HAMMOCK, M.K.: Isotope ventriculography interpretation of ventricular size and configuration in hydrocephalus. Arch. neurol. 25, 1–8 (1971).
MILHORAT, Th.H.: The third circulation revisited. J. Neurosurg. 42, 628–645 (1975).
OBERSON, R.: Introduccion à la exploracion radioisotopica de los espacios ependimario y leptomeningeo. Radiologia (Madrid) 16, 493–510 (1974).
OBERSON, R.: La cisternographie radio-isotopique chez l’enfant. Schw. med. Wschr. 100, 867–874 (1970).
OBERSON, R.: Schéma scintigraphique de la troisième circulation. Schw. Archiv. Neurol. Neurochir. Psychiat. 109, 51–71 (1971).
OBERSON, R., MARTINI, T.: Scintigraphy of the normal pericerebral fluid circulation. Acta radiol. Diagn. 13, 575–580 (1972).
OBERSON, R., KUSHELEVSKY, A.: Remarks on radioisotope studies of the leptomeningeal and ependymal spaces. Neuroradiology 7, 139–144 (1974).
OBERSON, R., CAMPICHE, R.: Radioisotope ventriculography. Neuroradiology 5, 202–207 (1973).
OBERSON, R.: Myeloscintigraphy: A modern Queckenstedt test. Acta radiol. Diagn. (in press).
OBERSON, R.: La myéloscintigraphie. Schw. med. Wschr. 104, 1237–1244 (1974).
OBERSON, R.: Le bloc incisural. Son diagnostic radiologique. Neurochirurgie (Paris) 21, 357–364 (1975).
OBERSON, R., AZAM, F.: Les signes pneumographiques de l’hydrocéphalie mal compensée. Neurochirurgie (Paris) 21, 317–328 (1975).
SALMON, J.H., ARMITAGE, J.L.: Surgical treatment of hydrocephalus ex vacuo: Ventriculoatrial shunt for degenerative brain disease. Neurology (Minneap.) 18, 1223–1226 (1968).
SATO, O., BERING, Jr., E.A., VAGT, M., TSUGANE, R., HARA, M., AMANO, ASAI, T.: Bulk flow in the cerebrospinal fluid system of the dog. Acta Neurol. Scandinav. 51, 1–11 (1975).
SHERNKIN, H.A., GREENBERG, J., BOUZARTH, W.F. et coll.: Ventricular shunting for the relief of senile symptoms. JAMA 225, 1486–1489 (1973).
SOHN, R.S., SIEGEL, B.A., GADO, M. et coll.: Alzheimer’s disease with abnormal cerebrospinal fluid flow. Neurology 23, 1058–1065 (1973).
STEIN, S.C., LANGFITT, Th.: Normal-pressure hydrocephalus. Predicting the results of cerebrospinal fluid shunting. J. Neurosurg. 41, 463–470 (1974).
WAGNER, H.N., ASHBURN, W.N., DI CHIRO, G., McFEE, J.: Cisternography and ventriculography with radionuclides. In: Central nervous system investigation with radionuclides (eds. A.J. Gibson and W.M. Smoack). Springfield: Charles C. Thomas 1971.
YASARGIL, M.G., VONEKAWA, V., ZUMSTEIN, B. et coll.: Hydrocephalus following spontaneous hemorrhage: clinical features and treatment. J. Neurosurg. 39, 474–479 (1973).
ZANDER, E., FOROGLOU, G., OBERSON, R.: Indications opératoires de l’hydrocéphalie interne posttraumatique. Neurochirurgie (Paris) 14, 13–26 (1968).
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Oberson, R., Zander, E. (1977). Radioisotope Cisternography and Hydrocephalus. In: Wüllenweber, R., Brock, M., Hamer, J., Klinger, M., Spoerri, O. (eds) Lumbar Disc Adult Hydrocephalus. Advances in Neurosurgery, vol 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66578-3_22
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DOI: https://doi.org/10.1007/978-3-642-66578-3_22
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