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4, "publishedYear" : 1999, "abstractText" : "OBJECTIVE: Endoscopic 3rd ventriculostomy has become the method of choice in the \nmanagement of occlusive hydrocephalus. The treatment is accompanied by\nsignificantly less peri-operative complications than the cerebrospinal fluid\nshunting procedures previously employed. Close surveillance of patients, however,\nis necessary to avoid the consequences of raised intracranial pressure that may\ndevelop in case of obstruction of the artificial outlet of the 3rd ventricle. The\naim of this study was to confirm the value of transcranial Doppler-determined\npulsatility index (PI) in the assessment of the patency of endoscopic 3rd\nventriculostomy and to elucidate its usefulness in early postoperative\nrecognition of increased intracranial pressure. METHODS: In twenty-two patients\nsuffering from occlusive hydrocephalus, transcranial Doppler sonography (TCD) was\nperformed before, immediately after, and five days after endoscopic fenestration \nof the floor of the 3rd ventricle. PI was defined with fast Fourier\ntransformation. Mean PI values were determined in both middle cerebral arteries\n(MCA), over five cardiac cycles. RESULTS: In nineteen cases, PI values showed a\nsignificant decrease immediately as well as five days after the intervention as\ncompared to the pre-operative values, and flow-sensitive MRI confirmed the\npatency of the fenestration in all cases. In one patient the operation failed to \nproduce an effective diversion of cerebrospinal fluid as shown by flow-sensitive \nMRI, and the pulsatility index was unchanged. In two patients, a significant\nimmediate postfenestration drop in PI was followed by a recurrence of PI to\npre-operative levels without any clinical deterioration. CONCLUSIONS: Preliminary\nresults suggest that the transcranial Doppler-determined pulsatility index is a\nuseful non-invasive tool for the evaluation of the patency of the fenestration in\nthe early follow-up of patients who underwent endoscopic third ventriculostomy.", "subjects" : [ { "otype" : "Classification", "mtid" : 12215, "link" : "/api/classification/12215", "label" : "Clinical medicine", "published" : true, "snippet" : true } ], "digital" : null, "printed" : null, "sourceYear" : 2006, "foreignEdition" : true, "foreignLanguage" : true, "fullPublication" : true, "conferencePublication" : false, "nationalOrigin" : true, "missingAuthor" : false, "oaType" : "NONE", "oaCheckDate" : "2024-02-14", "oaFree" : false, "oaByAuthor" : { "otype" : "Admin", "mtid" : 10045992, "link" : "/api/admin/10045992", "label" : "Éva Buzási (KE-4-es admin INAKTÍV)", "familyName" : "Buzási", "givenName" : "Éva", "published" : true, "oldId" : 10045992, "snippet" : true }, "citationCount" : 22, 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