In Reply to the Letter to the Editor Regarding "The Results of Neuroendoscopic Surgery on Patients with Posttraumatic and Posthemorrhagic Hydrocephalus"

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CHRASTINA Jan NOVÁK Zdeněk ZEMAN Tomáš

Rok publikování 2018
Druh Článek v odborném periodiku
Časopis / Zdroj WORLD NEUROSURGERY
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.1016/j.wneu.2018.08.186
Klíčová slova Neuroendoscopic Surgery; Posthemorrhagic Hydrocephalus
Popis We are aware that the final outcome after brain injury of intracranial bleeding is also determined by the extent of primary injury to the brain parenchyma during the initial insult and that this can hardly be influenced by any type of surgery. The aim of endoscopic surgery is to treat an obstacle blocking cerebrospinal fluid flow (thereby preventing secondary brain damage from acute intracranial hypertension or from chronic hydrocephalus), and therefore the reduction of ventricular size without shunt implantation might be considered the criterion for endoscopic surgery success. Sun and Guan have proposed symptomatic improvement or alteration of ventricular size without a subsequent shunt as a criterion of endoscopic surgery success.

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