Abstract
The term “slit ventricle syndrome” (SVS) is widely used to describe a condition of severe, usually intermittent, headaches suffered by patients with longstanding ventricular shunting for hydrocephalus [15,16,20]. It is important to differentiate this condition from the smaller than normal, even almost nonexistent ventricles seen in some patients on routine imaging studies. The finding of radiographic slit ventricles occurs in at least 85% of children who are shunted and has been said to be a “goal” of shunting (M.L. Walker, personal communication, 1986). Most of these patients are asymptomatic and require no intervention. Only when patients begin to suffer from a severe headache disorder that interferes with their normal lives does the presence of radiographic slit ventricles lead to the diagnosis of the SVS.
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References
Albright AL, Tyler-Kabara E: Slit-ventricle syndrome secondary to shunt-induced suture ossification. Neurosurgery 48:764–770, 2001
Baskin JJ, Manwaring KH, Rekate HL: Ventricular shunt removal: the ultimate treatment of the slit ventricle syndrome. J Neurosurg 88:478–484, 1998
Chumas PD, Armstrong DC, Drake JM, et al: Tonsillar herniation: the rule rather than the exception after lumboperitoneal shunting in the pediatric population. J Neurosurg 78:568–573, 1993
Chumas PD, Kulkarni AV, Drake JM, et al: Lumboperitoneal shunting: a retrospective study in the pediatric population. Neurosurgery 32:376–383, 1993
Cserr HF: Relationship between cerebrospinal fluid and interstitial fluid of brain. Fed Proc 33:2075–2078, 1974
Cutler R, Page L, Galicich J, et al: Formation and absorption of cerebrospinal fluid in man. Brain 91:707–720, 1968
Dandy W, Blackfan K: An experimental and clinical study of internal hydrocephalus. JAMA 61:2216–2217, 1913
Dandy W, Blackfan K: Internal hydrocephalus. An experimental, clinical and pathological study. Am J Dis Child 8:406–482, 1914
da Silva MC, Drake JM: Effect of subcutaneous implantation of anti-siphon devices on CSF shunt function. Pediatr Neurosurg 16:197–202, 1991 2-1992
DeLand FH, James AEJ, Ladd DJ, et al: Normal pressure hydrocephalus: a histologic study. Am J Clin Pathol 58:58–63, 1972
Di Rocco C, Di Trapani G, Maira G, et al: Anatomo-clinical correlations in normotensive hydrocephalus. Reports on three cases. J Neurol Sci 33:437–452, 1977
el Shafei I, Hafez MA: Ventriculojugular shunt against the direction of blood flow. IV. Technical modifications and policy for treatment. Childs Nerv Syst 7:197–204, 1991
Engel M, Carmel PW, Tutoring AM: Increased intraventricular pressure without ventriculomegaly in children with shunts: “normal volume” hydrocephalus. Neurosurgery 5:549–552, 1979
Epstein FJ, Fleischer AS, Hochwald GM, et al: Subtemporal craniectomy for recurrent shunt obstruction secondary to small ventricles. J Neurosurg 41:29–31, 1974
Epstein F, Lapras C, Wisoff JH: ’slit-ventricle syndrome’: etiology and treatment. Pediatr Neurosci 14:5–10, 1988
Epstein F, Marlin AE, Wald A: Chronic headache in the shunt-dependent adolescent with nearly normal ventricular volume: diagnosis and treatment. Neurosurgery 3:351–355, 1978
Francis PM, Beals S, Rekate HL, et al: Chronic tonsillar herniation and Crouzon’s syndrome. Pediatr Neurosurg 18:202–206, 1992
Frim DM, Goumnerova LC: Telemetric intraventricular pressure measurements after third ventriculocisternostomy in a patient with noncommunicating hydrocephalus. Neurosurgery 41:1425–1430, 1997
Hakim CA (ed): The physics and physiopathology of the hydraulic complex of the central nervous system. Massachusetts Institute of Technology, Boston, 1985
Hyde-Rowan MD, Rekate HL, Nulsen FE: Reexpansion of previously collapsed ventricles: the slit ventricle syndrome. J Neurosurg 56:536–539, 1982
Johnston I, Jacobson E, Besser M: The acquired Chiari malformation and syringomyelia following spinal CSF drainage: a study of incidence and management. Acta Neurochir (Wien) 140:417–428, 1998
Johnston IH, Sheridan MM: CSF shunting from the cisterna magna: a report of 16 cases. Br J Neurosurg 7:39–43, 1993
Jones RF, Kwok BC, Stening WA, et al: Third ventriculostomy for hydrocephalus associated with spinal dysraphism: indications and contraindications. Eur J Pediatr Surg 1(6 Suppl):5–6, 1996
Karahalios DG, Rekate HL, Khayata MH, et al: Elevated intracranial venous pressure as a universal mechanism in pseudotumor cerebri of varying etiologies. Neurology 46:198–202, 1996
Kaufman B, Weiss MH, Young HF, et al: Effects of prolonged cerebrospinal fluid shunting on the skull and brain. J Neurosurg 38:288–297, 1973
Larsson A, Stephensen H, Wikkelso C: Adult patients with “asymptomatic” and “compensated” hydrocephalus benefit from surgery. Acta Neurol Scand 99:81–90, 1999
Linder M, Diel JT, Sklar FH: Significance of postshunt ventricular asymmetries. J Neurosurg 55:183–186, 1981
Lorenzo A, Page L, Watters G: Relationship between cerebrospinal fluid formation, absorption and pressure in human hydrocephalus. Brain 93:679–692, 1970
Milhorat T, Hammock M, Fenstermacher J, et al: Cerebrospinal fluid production by the choroid plexus and brain. Science 173:330–332, 1971
Olivero WC, Rekate HL, Chizeck HJ, et al: Relationship between intracranial and sagittal sinus pressure in normal and hydrocephalic dogs. Pediatr Neurosci 14:196–201, 1988
Pierre-Kahn A, Hirsch JF, Renier D, et al: Hydrocephalus and achondroplasia. A study of 25 observations. Childs Brain 7:205–219, 1980
Ransohoff J, Shulman K, Fishman R: Hydrocephalus. J Pediat 56:399–411, 1960
Reddy K, Fewer HD, West M, et al: Slit ventricle syndrome with aqueduct stenosis: third ventriculostomy as definitive treatment. Neurosurgery 23:756–759, 1988
Rekate HL: Parenchymal cerebrospinal fluid extravasation as a complication of computerized tomography. Case report. J Neurosurg 52:113–115, 1980
Rekate HL: Management of hydrocephalus and the erroneous concept of shunt independence in spina bifida patients. BNI Quarterly 4:17–20, 1988
Rekate HL: Brain turgor (Kb): intrinsic property of the brain to resist distortion. Pediatr Neurosurg 18:257–262, 1992
Rekate HL: Classification of slit-ventricle syndromes using intracranial pressure monitoring. Pediatr Neurosurg 19:15–20, 1993
Rekate HL: Circuit diagram of the circulation of cerebrospinal fluid. 1989. Pediatr Neurosurg 21:248–252, 1994
Rekate HL, Brodkey JA, Chizeck HJ, et al: Ventricular volume regulation: a mathematical model and computer simulation. Pediatr Neurosci 14:77–84, 1988
Rekate HL: McCormick JM: Failure to demonstrate a brain transmissibility factor. In: Marlin A (ed) Concepts in pediatric neurosurgery. Karger, Zurich, pp 235–242, 1990
Rekate HL, Nulsen FE, Mack HL, et al: Establishing the diagnosis of shunt independence. In: Choux M (ed) Shunts and problems with shunts. Karger, Basel, pp 223–226, 1982
Rekate HL, Williams FCJ, Brodkey JA, et al: Resistance of the foramen of Monro. Pediatr Neurosci 14:85–89, 1988
Sainte-Rose C, LaCombe J, Pierre-Kahn A, et al: Intracranial venous sinus hypertension: cause or consequence of hydrocephalus in infants? J Neurosurg 60:727–736, 1984
Shulman K, Ransohoff J: Sagittal sinus venous pressure in hydrocephalus. J Neurosurg 23:169–173, 1965
Steinbok P, Hall J, Flodmark O: Hydrocephalus in achondroplasia: the possible role of intracranial venous hypertension. J Neurosurg 71:42–48, 1989
Teo C, Jones R: Management of hydrocephalus by endoscopic third ventriculostomy in patients with myelomeningocele. Pediatr Neurosurg 25:57–63, 1996
Walker ML, Fried A, Petronio J: Diagnosis and treatment of the slit ventricle syndrome. Neurosurg Clin N Am 4:707–714, 1993
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Rekate, H.L. (2005). Slit Ventricle Syndrome or Syndromes: Diagnosis and Management. In: Cinalli, G., Sainte-Rose, C., Maixner, W.J. (eds) Pediatric Hydrocephalus. Springer, Milano. https://doi.org/10.1007/978-88-470-2121-1_23
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DOI: https://doi.org/10.1007/978-88-470-2121-1_23
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