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Diagnostische Möglichkeiten der positiven Ventrikulographie

Diagnostic possibilities of positive contrast ventriculography

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Zusammenfassung

Es werden hinsichtlich Beurteilbarkeit und Nebenerscheinungen die Ergebnisse von je 100 Luft-, Conray 60- und DIMER-X-Ventrikulographien verglichen. Die Stärke der positiven Ventrikulographie liegt in der ungleich besseren Verträglichkeit und erheblich besseren Beurteilbarkeit bei Prozessen der Mittellinie und der hinteren Schädelgrube. Die Tomoventrikulographie mit mehrschichtiger Simultankassette erlaubt eine exakte Lokalisation intraventrikulärer Prozesse ohne weitere Belastung des Patienten. Ebenso ergibt das Subtraktionsverfahren einen besseren Überblick über Einzelheiten, ebenfalls ohne weitere Belastung des Patienten. Ihre Grenzen findet die positive Ventrikulographie bei Mißbildungen des Ventrikelsystems infolge Überlagerungseffekten und der notwendigen großen Kontrastmittelmengen.

Summary

A comparison has been made of the relative merits of air, Conray 60, and Dimer X ventriculography in 100 cases. The great virtue of positive contrast ventriculography is its superior ability to demonstrate abnormalities in the midline and in the posterior cranial fossa. Tomoventriculography using a multiple layer cassette permits exact localization of intraventricular lesions without causing additional discomfort to the patient. The subtraction technique confers additional benefits. Positive contrast ventriculography has its limitations when there are large extraventricular masses.

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Literatur

  1. Albrecht, K., Das Risiko bei neurochirurgischen Untersuchungsmethoden. Zbl. Chir.21 (1956), 2107–2113.

    Google Scholar 

  2. Alexander, L., T. S. Jung, and R. S. Lyman, Colloidal thorium dioxide: Its use in intracranial diagnosis and its fate on direct injection into the brain and the ventricels. Arch. Neurol. Psychiat. (Chic.)32 (1934), 1143–1158.

    Google Scholar 

  3. Amundsen, I., O. Skape, G. Presthus, T. Torbergsen, and B. Kaada, Metrizamide, a water-soluble contrast medium for myelography clinical experience. X Symposium Neuroradiologicum Punta del Este, Uruguay 10.–16. März 1974.

  4. Arnell, S., and F. Lidström, Acta Radiol.12 (1931), 287–288. Zit. nach Campbell et al. 1964.

    Google Scholar 

  5. Azambuja, N., R. Arana Inigues, M. T. Sande, and A. Garcia Guelfi, Central ventriculography. Acta neurol. Latinoam.2 (1956), 58–64.

    Google Scholar 

  6. Back, N., Effects of subacute intraventricular administration of meglumine iothlamate (Conray). In Adult purebred Beagle Dogs, Roswell Park Memorial Institute 1963. Zit. nach Heimburger et al. 1966.

  7. Balado, M., and Morca y Donovan, A radiographie del tercer ventriculo. Arch, argent. Neurol.1 (4) (1927), 256–257.

    Google Scholar 

  8. —, Radiografia del tercer ventriculo, mediante la inyeccion intraventricular de lipiodol. Arch. argent. Neurol.2 (1928), 69–77.

    Google Scholar 

  9. Bull, J. W. D., Positive contrast ventriculography. Acta Radiol.34 (1950), 253–268.

    PubMed  Google Scholar 

  10. Campbell, R. L., J. A. Campbell, R. F. Heimburger, J. E. Kalsbeck, and J. Mealey jr., Ventriculography and myelography with absorbable radiopaque medium. Radiology82 (1964), 286–289.

    PubMed  Google Scholar 

  11. Dandy, W. E., Ventriculography following the injection of air into the cerebral ventricles. Ann. Surg.68 (1918), 5–11.

    Google Scholar 

  12. Dobben, G. D., Experimental evaluation for a 2,6-Dijodo-dl-Thyronine suspension as a resorbable encephalo-myelographic contrast agent. Radiol.92 (1969), 604.

    Google Scholar 

  13. Dotter, C. T., K. R. Straube, M. K. Bilbao, and V. C. Hinck, A new contrast medium for intravascular use. North. Med. (Seattle)182 (1962), 41–46.

    Google Scholar 

  14. Fischer, D. E., Neurotoxität von Röntgenkontrastmitteln. Radiologe10 (1970), 185–491.

    Google Scholar 

  15. Foster, J. H., E. W. Winfrey, D. A. Killen, and R. T. Sessions, A new angiographic contrast medium, sodium iothalamate 80 p. 100. J. Amer. med. Ass.182 (1962), 1009–1013.

    Google Scholar 

  16. Geile, G., Erfahrung mit Conray-Ventrikulographie. Radiologe11 (1971), 5–7.

    PubMed  Google Scholar 

  17. Gonsette, R., A. Dereymacker, H. Hou, et G. Cornelis, L'iodoventriculographie. I. Technique, indications, images normales. II. Le diagnostic radiologique. Acta neurol. belg.58 (1958), 778–796 and 797–809.

    Google Scholar 

  18. —, G. Andrè-Balisaux, Étude expérimentale et clinique de quelques produits de contraste hydrosolubles en vue de leur utilisation pour la radiculographie, la myélographie et la ventriculographie. J. Radiol. Electrol.51 (1970), 19–28.

    PubMed  Google Scholar 

  19. —, Utilisations nouvelles des produits de contraste hydrosolubles en neuroradiologie. J. belge Radiol.54 (1971), 385–402.

    PubMed  Google Scholar 

  20. - Late advances in ventriculography and myelography with new water soluble contrast media. X Symposium Neuroradiologicum Punta del Este, Uruguay 10.–16. März 1974.

  21. Gonzales Cornejo, S., Conray ventriculography in the diagnosis of intraventricular and posterior fossa lesions. J. Neurosurg.34 (1971), 405–407.

    PubMed  Google Scholar 

  22. Grepe, A., and L. Widen, Investigation of the basal cisternes using, the new water-soluble contrast medium metrizamide. X Symposium Neuroradiologicum Punta del Este, Uruguay 10.–16. März 1974.

  23. Guthkelch, A. N., J. Zierski, A. Fernander-Sorrats, and S. P. Chatterjee, Ventriculography with meglumine Jothalamate. Neuroradiology6 (1971), 32–38.

    Google Scholar 

  24. Handa, J., and H. Handa, Methylglucamine iothalamate 60 per cent for cerebral ventriculography. Amer. J. Roentg.107 (1969), 631–636.

    Google Scholar 

  25. Heimburger, R. F., J. E. Kalsbeck, R. L. Campbell, and J. Mealey jr., Positive contrast cerebral ventriculography using water-soluble media: clinical evaluation of 102 procedures using methylglucamine iothalamate 60%. J. Neurol. Neurosurg. Psychiat.29 (1966), 281–290.

    PubMed  Google Scholar 

  26. Hindmarsh, T., Technique for examination of the thoracic and cervical subarachnoidal space with new water-soluble contrast medium metrizamide. X Symposium Neuroradiologicum Punta del Este, Uruguay 10.–16. März 1974.

  27. Hughes, R., Chronic changes in the central nervous system following thorotrast ventriculography. Proc. roy. Soc. Med.46 (1953), 191–195.

    PubMed  Google Scholar 

  28. Hurteau, E. E., W. C. Baird, and E. Sinclair, Arachnoiditis following the use of iodized oil. J. Bone Jt. Surg.36 (1954), 393–396.

    Google Scholar 

  29. Iizuka, J., Cerebral diagnosis and cerebral topometry. Isolated demonstration of the 3rd and ventricles using Conray 60. Fortschr. Med. 90/30 (1972), 1109–1113.

    Google Scholar 

  30. Isamat, F., A. M. Miranda, et E. Bartumeus, Ventriculoseriographie cérébrale avec contrast positif hydrosoluble. Neurochirurgie16 (1970), 577–585.

    PubMed  Google Scholar 

  31. Jackson, J. D., J. E. Wheeler, and D. Kline, Positive contrast ventriculography (Conray). Exhibit 19th Annual Meeting of the Congress of Neurological Surgeons. Boston, Massachusetts, Sept. 1969,

  32. Jacobaeus, H. C., and F. Nord, Air and Lipiodol as contrast agents for roentgen diagnosis within the central nervous system. Acta radiol. (Stockh.)3 (1924), 367–382.

    Google Scholar 

  33. Jakubowski, J., and C. H. A. Meyer, The diagnostic value of water-miscible contrast ventriculography. Acta Neurochir. (Wien)27 (1972), 241–262.

    Google Scholar 

  34. Jefferson, A., and J. Occleshaw, The identification of pathological processes in the posterior cranial fossa by Myodil ventriculography. Acta Neurochir. (Wien)8 (1960), 468–494.

    Google Scholar 

  35. Knoetgen, I., G. Schwarz und G. Argyropoulos, Der röntgenologische Nachweis intracranieller Expansionen mit intraventrikulärem Jothalamat (Conray). Röfo116 (1972), 751–755.

    Google Scholar 

  36. Kodama, J. K., W. M. Butler, T. W. Tusing, and F. P. Harllet, Iothalamate. A new intravascular radiopaque medium with unusual pharmacotoxic inertness. Exp. molec. Path.2 (1963), 796–798.

    Google Scholar 

  37. Kunze, St., und W. Schiefer, Ventrikulographie mit positiven Kontrastmitteln bei raumfordernden Prozessen der Mittellinie und im Bereich der hinteren Schädelgrube. Radiologe9 (1969), 495–499.

    PubMed  Google Scholar 

  38. —, M. Klinger, and W. Schiefer, Central-ventriculography with Dimer X. Acta Neurochir. (Wien)28 (1973), 41–63.

    Google Scholar 

  39. Kyle, R. H., A. Oler, E. C. Lasser, and H. L. Rosomoff, Meningioma induced by thorium dioxide. New Engl. J. Med.268 (1963), 80–82.

    PubMed  Google Scholar 

  40. Lang, E. K., and J. R. Russell, Pantopaque ventriculography; demonstration and assessment of lesions of the third ventricle and posterior fossa, J. Neurosurg.32 (1970), 5–15.

    PubMed  Google Scholar 

  41. Leheta, F., and H. Steinhoff, Positive ventriculography with water-soluble contrast medium. Fortschr. med. 90/13 (1972), 509–511.

    Google Scholar 

  42. Lindblom, A. F., On effects of various iozed oils on meninges. Acta med. Scandinav.76 (1931), 395–402.

    Google Scholar 

  43. A. Lundervold, J. Hauglie-Hanssen, and A. Engeset, Ventriculography and myelography. The use of the new water-soluble contrast medium metrizamide. X Symposium Neuroradiologicum Punta del Este, Uruguay 10.–16. März 1974.

  44. Marini, G., and J. M. Taveras, Influence of ventricular size on mortality and morbidity following ventriculography. Acta radiol. (Diagn.)1 (1963), 602–608.

    Google Scholar 

  45. Matsubara, T., and T. Nomura, Emulsified iodized oil ventriculography. Amer. J. Roentgen.84 (1960), 48–51.

    Google Scholar 

  46. Mohadjer, M., und G. Hänsel, Vergleich des wässerigen Kontrastmittel Conray 60 und Dimer X zur Darstellung des Hirnventrikelsystems. Neurochirurgia17 (1974), 11–16.

    PubMed  Google Scholar 

  47. Nadjmi, M., und G. Schaltenbrand, Gezielte Darstellung des dritten Ventrikels mit Kontrastmitteln. Röfo96 (1962), 204–206.

    Google Scholar 

  48. Natelson, S. E., M. P. Sayers, and W. E. Hunt, Experiences with the technique and complications of meglumine iothalamate (Conray) ventriculography. J. Neurol. Neurosurg. Psychiat.35 (1972), 264–269.

    PubMed  Google Scholar 

  49. Penning, L., H. P. M. Kerckhoffs, and T. Huizinga, Experimental evaluation of emulsified iophendylate in the cranial subarachnoid space. Invest. Radiol.1 (1966), 264–270.

    PubMed  Google Scholar 

  50. — —, Comparative experimental evaluation of several types of emulsified oily radiopaque materials in the cranial subarachnoid space. Radiology88 (1967), 730–735.

    PubMed  Google Scholar 

  51. — —, K. Ten Napel, and M. G. Woldring, Experimental investigation of shake emulsions of radiopaque oils in the cranial subarachnoid space. Radiol. clin. biol.37 (1968), 103–112.

    PubMed  Google Scholar 

  52. Pfarr, B., Komplikationen bei neurochirurgischen Operationen. Inaug. Diss. Köln 1967.

  53. Picaza, J. A., S. E. Hunter, and L. Lee, Seizures associated with the use of meglumine iothalamate 60% in ventriculography. J. Neurosurg.36 (1972), 474–480.

    PubMed  Google Scholar 

  54. Piette, Y., Le lipiodol intraventriculaire dans la diagnostic des tumeurs cérébrales. Zbl. Neurochir.4 (1939), 15–40.

    Google Scholar 

  55. Plati, J. T., H. W. Strain, and S. L. Warren, J. Amer. Chem. Soc.65 (1943), 1273. Zit. nach Campbell et al. 1960.

    Google Scholar 

  56. Portera-Sanchez, A., G. Bravo, and C. Parera, Emulsified pantopaque ventriculography. J. Neurosurg.21 (1964), 422–423.

    PubMed  Google Scholar 

  57. —, Pan-ventriculography: a new technique utilizing emulsified pantopaque. Acta Radiol. (Diagn.)5 (1966), 693–704.

    Google Scholar 

  58. Potthoff, P. C., Ventriculographie und Ventriculotomographie mit SH 617 L. Radiologe9 (1969), 503–509.

    PubMed  Google Scholar 

  59. Praestholm, J., and K. Ølgaard, Comparative histological investigation of the sequelae of experimental myelography using sodium methiodal and meglumine iothalamate. Neuroradiology4 (1972), 14–19.

    PubMed  Google Scholar 

  60. Radovici, A., et O. Meller, Essai de liquidographie céphalorachidienne. Encéphalo -myélographie par le thorotrast sousarachnoidien. Bull. Acad. Méd. (Paris)107 (1932), 314–317.

    Google Scholar 

  61. Raimondi, A. J., G. H. Samuelson, and L. Yarzagaray, Positive contrast-Conray 60-serial ventriculography in the normal and hydrocephalic infant. Ann. Radiol.12 (1969), 377–392.

    PubMed  Google Scholar 

  62. Salah, S., and W. T. Koos, Controlles overpressure pantopaque ventriculography. J. Neurosurg.39 (1973), 671–674.

    PubMed  Google Scholar 

  63. Sedzimir, C. B., and S. R. Ivan, Simplified contrast ventriculography. J. Neurosurg.19 (1962), 657–660.

    Google Scholar 

  64. Sicard, J. A., and J. Forestier, Roentgenographic exploration of central nervous system with iodized oil (lipiodol). Arch. Neurol. Psychiat.16 (1926), 420–434.

    Google Scholar 

  65. Siqueira, E. B., P. C. Bucy, and A. H. Cannon, Positive contrast ventriculography, cysternography, and myelography. Amer. J. Roentgenol.104 (1968), 132–138.

    PubMed  Google Scholar 

  66. —, and A. Arumugasamy, Positive contrast ventriculography: A comparison between Conray (Methylglucamine iothalamate 60%) and Pantopaque (Di-iodophenyl Undecylate). Neurochirurgia5 (1972), 173–177. Stuttgart: G. Thieme.

    Google Scholar 

  67. Stuck, R. M., and D. L. Reeves, Dangerous effects of thorotrast used intracranially, with special reference to experimental production of hydrocephalus. Arch. Neurol. Psychiat. (Chic.)40 (1938), 86–115.

    Google Scholar 

  68. Vailati, G., S. Mullan, and G. Dobben, Ventriculografia cerebrale e mielografia mediante un nuovo mezzo di contrasto idrosolubile e riassorbibile. Minerva neurochir.9 (1965), 186–189.

    PubMed  Google Scholar 

  69. Weiss, S. R., and R. Raskind, Conray ventriculography in the diagnosis of brain tumors and congenital malformations in children. Technical note. J. Neurosurg.34/3 (1971), 408–411.

    Google Scholar 

  70. Wilkinson, H. A., Selective third ventricular catheterization for Pantopaque ventriculography. Amer. J. Roentgen.105 (1969), 348–351.

    PubMed  Google Scholar 

  71. Wilson, M., and S. R. Snodgrass, Positive contrast ventriculography. Radiology72 (1959), 810–815.

    PubMed  Google Scholar 

  72. Yamada, H., S. Tanaka, and Y. Kashiki, Experience with Conray ventriculography. Brain Nerve (Tokyo)24/2 (1972), 227–236.

    Google Scholar 

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Author notes

  1. A. Agnoli, H. R. Eggert, J. Zierski, W. Seeger & D. Kirchhoff

    Present address: Neuroradiologische Abteilung der Neurochirurgischen Universitätsklinik Gießen, Deutschland

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    1. A. Agnoli
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    Agnoli, A., Eggert, H.R., Zierski, J. et al. Diagnostische Möglichkeiten der positiven Ventrikulographie. Acta neurochir 31, 227–243 (1975). https://doi.org/10.1007/BF01406295

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