Annual Review of Hydrocephalus: Volume 8 1990 by James M. Drake, D. Gordon Potts, Claude Lemaire (auth.),

By James M. Drake, D. Gordon Potts, Claude Lemaire (auth.), Satoshi Matsumoto M.D., Kiyoshi Sato M.D., Norihiko Tamaki M.D., Shizuo Oi M.D. (eds.)

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Digital marking of the skull on X-ray increased in comparison with that 3 years previously. X-ray CT revealed slight cerebral atrophy without ventricular dilatation. In CT cisternography, there were ventricular reflux and dilatation. MRI showed presence of edema of the periventricular tissues and septum pellucidum. After having received dialyses with the administration of glyceol, she had no headache, nausea or vomiting anymore . She continued receiving this prescription for the next 11 months without neurological problem.

Dialysate (290 mOsm/kg HzO) infusion without glyceol. 31) 32 A nn ual Review 0/ Hydroceph alus Figure 1. (A) X-ray Cf. Moderate dilatation of cerebral sulci in the frontal lobes and Sylvian fissures, and a lacunar infarct in left basal ganglion are found . (B, C) Metrizamide cisternography. 6 hours after infusion (B). There are ventricular reflux and retention of metrizamide to cerebral sulci and Sylvian fissures. The lateral ventricles are enlarged. 24 hours after infusion (C). The contrast medium is c1eared from both ventricles and cerebral surface .

V. MERRICK2 'D epartment of Paediatric Neurology, Royal Hospital for Siek Children, Edinburgh; and 2Department of Nuclear Medieine, Western General Hospital, Edinburgh, Seotland Tr ansit time is defined as the time such th at the volum e of tracer ent erin g or leaving an organ or tissue is equal to the volume of trac er in that organ or tissue at the equilibrium. This method of measurin g cerebral transit time involves introduction of a tracer (sodium pert echnetate) via an antecubital vein. A gamma camera fitted with an ultr a high sensitivity collimator is on line to a mini computer.

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