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Radioisotope Cisternography and Hydrocephalus

  • Conference paper
Lumbar Disc Adult Hydrocephalus

Part of the book series: Advances in Neurosurgery ((NEURO,volume 4))

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

  1. AKERMAN, M., DEROME, P., GUIOT, G.: Le transit radio-isotopique dans les hydrocéphalies. Neuro-chirurgie (Paris) 16, 117–126 (1970).

    CAS  Google Scholar 

  2. 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).

    Article  PubMed  CAS  Google Scholar 

  3. 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.

    Google Scholar 

  4. BENSON, F., LEMAY, M., PATTEN, D.H., RUBENS, A.B.: Diagnosis of normal-pressure hydrocephalus. New Engl. J. Med. 283, 609–615 (1970).

    Article  PubMed  CAS  Google Scholar 

  5. DI CHIRO, G.: New radiographic and isotopic procedures in neurological diagnosis. JAMA 188, 524–529, May 11 (1964).

    Google Scholar 

  6. DI CHIRO, G.: Movement of the cerebrospinal fluid in human beings. Nature (London) 204, 290–291, October 17 (1964).

    Article  Google Scholar 

  7. DI CHIRO, G., REAMES, P.M., MATTHEWS, W.R., Jr.: RISA-ventriculo-graphy and RISA-cisternography. Neurology (Minneap.) 14, 185–191 (1964).

    Google Scholar 

  8. DI CHIRO, G., ASHBURN, W.L., BRINER, W.H.: RISA ventriculography and RISA cisternography. Neurology (Minneap.) 14, 185–191 (1964).

    Google Scholar 

  9. DI CHIRO, G.: Observations on the circulation of the cerebrospinal fluid. Acta Radiol. (Diag) 5, 988–100” (1966).

    Google Scholar 

  10. FOROGLOU, G., ZANDER, E.: Nos expériences avec l’hydrocéphalie interne communicante. Arch. s. Neurol. Neurochir. Psychiat. 115, 291–303 (1974).

    Google Scholar 

  11. 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).

    CAS  Google Scholar 

  12. 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.

    Google Scholar 

  13. HARBERT, J.C.: Radionuclide cisternography. Seminars in nuclear medicine 1, 90–106 (1971).

    Article  Google Scholar 

  14. HARBERT, J.C., HAMES, A.E.: Posterior fossa abnormalities demonstrated by cisternography. J. nuclear Med. 13, 73–80 (1972).

    CAS  Google Scholar 

  15. HEINZ, E.R., DAVIS, D.O., KARP, H.R.: Abnormal isotope cisternography in symptomatic occult hydrocephalus. Radiol. 95, 109–120 (1970).

    CAS  Google Scholar 

  16. 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).

    Google Scholar 

  17. JAMES, A.E., DELAND, F.H., HODGES, D.J. et coll.: Normal-pressure hydrocephalus. Role of cisternography in diagnosis. JAMA 213, 1615–1622 (1970).

    Article  PubMed  Google Scholar 

  18. JAMES, A.E., HURLEY, P.J., HELLER, R.M. et coll.: CSF imaging (cisternography) in pediatric patients. Ann. Radiol. 14, 591–600 (1971).

    PubMed  CAS  Google Scholar 

  19. 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).

    Google Scholar 

  20. 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).

    CAS  Google Scholar 

  21. KIEFFER, S.A., WOLFF, J.M., WESTREICH, G.: The borderline scinti-cisternogram. Radiology 106, 133–140 (1973).

    PubMed  CAS  Google Scholar 

  22. LANG, J.: Die äußeren Liquorräume des Gehirns. Acta anat. 86, 267–299 (1973).

    Article  PubMed  CAS  Google Scholar 

  23. LEMAY, M., NEW, P.F.J.: Pneumoencephalography and isotope cisternography in the diagnosis of occult normal pressure hydrocephalus. Radiology 96, 147–358 (1970).

    Google Scholar 

  24. 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).

    PubMed  CAS  Google Scholar 

  25. MALLARD, J.: The radionuclide imaging process and factors influencing the choice of an instrument for brain scanninf. Progr. nucl. Med. 1, 1–114 (1972).

    CAS  Google Scholar 

  26. 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).

    CAS  Google Scholar 

  27. 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).

    CAS  Google Scholar 

  28. 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).

    Article  PubMed  CAS  Google Scholar 

  29. MILHORAT, Th.H., HAMMOCK, M.K.: Isotope ventriculography interpretation of ventricular size and configuration in hydrocephalus. Arch. neurol. 25, 1–8 (1971).

    PubMed  CAS  Google Scholar 

  30. MILHORAT, Th.H.: The third circulation revisited. J. Neurosurg. 42, 628–645 (1975).

    Article  PubMed  CAS  Google Scholar 

  31. OBERSON, R.: Introduccion à la exploracion radioisotopica de los espacios ependimario y leptomeningeo. Radiologia (Madrid) 16, 493–510 (1974).

    Google Scholar 

  32. OBERSON, R.: La cisternographie radio-isotopique chez l’enfant. Schw. med. Wschr. 100, 867–874 (1970).

    CAS  Google Scholar 

  33. OBERSON, R.: Schéma scintigraphique de la troisième circulation. Schw. Archiv. Neurol. Neurochir. Psychiat. 109, 51–71 (1971).

    CAS  Google Scholar 

  34. OBERSON, R., MARTINI, T.: Scintigraphy of the normal pericerebral fluid circulation. Acta radiol. Diagn. 13, 575–580 (1972).

    CAS  Google Scholar 

  35. OBERSON, R., KUSHELEVSKY, A.: Remarks on radioisotope studies of the leptomeningeal and ependymal spaces. Neuroradiology 7, 139–144 (1974).

    Article  PubMed  CAS  Google Scholar 

  36. OBERSON, R., CAMPICHE, R.: Radioisotope ventriculography. Neuroradiology 5, 202–207 (1973).

    Article  PubMed  CAS  Google Scholar 

  37. OBERSON, R.: Myeloscintigraphy: A modern Queckenstedt test. Acta radiol. Diagn. (in press).

    Google Scholar 

  38. OBERSON, R.: La myéloscintigraphie. Schw. med. Wschr. 104, 1237–1244 (1974).

    CAS  Google Scholar 

  39. OBERSON, R.: Le bloc incisural. Son diagnostic radiologique. Neurochirurgie (Paris) 21, 357–364 (1975).

    CAS  Google Scholar 

  40. OBERSON, R., AZAM, F.: Les signes pneumographiques de l’hydrocéphalie mal compensée. Neurochirurgie (Paris) 21, 317–328 (1975).

    CAS  Google Scholar 

  41. SALMON, J.H., ARMITAGE, J.L.: Surgical treatment of hydrocephalus ex vacuo: Ventriculoatrial shunt for degenerative brain disease. Neurology (Minneap.) 18, 1223–1226 (1968).

    CAS  Google Scholar 

  42. 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).

    Article  CAS  Google Scholar 

  43. SHERNKIN, H.A., GREENBERG, J., BOUZARTH, W.F. et coll.: Ventricular shunting for the relief of senile symptoms. JAMA 225, 1486–1489 (1973).

    Article  Google Scholar 

  44. SOHN, R.S., SIEGEL, B.A., GADO, M. et coll.: Alzheimer’s disease with abnormal cerebrospinal fluid flow. Neurology 23, 1058–1065 (1973).

    PubMed  CAS  Google Scholar 

  45. STEIN, S.C., LANGFITT, Th.: Normal-pressure hydrocephalus. Predicting the results of cerebrospinal fluid shunting. J. Neurosurg. 41, 463–470 (1974).

    Article  PubMed  CAS  Google Scholar 

  46. 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.

    Google Scholar 

  47. YASARGIL, M.G., VONEKAWA, V., ZUMSTEIN, B. et coll.: Hydrocephalus following spontaneous hemorrhage: clinical features and treatment. J. Neurosurg. 39, 474–479 (1973).

    Article  PubMed  CAS  Google Scholar 

  48. ZANDER, E., FOROGLOU, G., OBERSON, R.: Indications opératoires de l’hydrocéphalie interne posttraumatique. Neurochirurgie (Paris) 14, 13–26 (1968).

    CAS  Google Scholar 

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© 1977 Springer-Verlag Berlin Heidelberg

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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

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-08100-5

  • Online ISBN: 978-3-642-66578-3

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