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  • Title: [Magnetic resonance tomographic imaging of pulsatile CSF movement in communicating hydrocephalus before and after shunt placement].
    Author: Goldmann A, Kunz U, Rotermund G, Friedrich JM, Schnarkowski P.
    Journal: Rofo; 1992 Dec; 157(6):555-60. PubMed ID: 1457791.
    Abstract:
    16 patients with hydrocephalus communicans and 5 healthy volunteers were examined to demonstrate the pattern of the pulsatile CSF flow. After implantation of a CSF shunt system the same patients were examined again to show the influence of the shunt on the CSF pulsations. We used a flow-sensitised, cardiac-gated 2D FLASH sequence and analysed the phase and magnitude images. It could be shown that most patients (n = 12) had a hyperdynamic pulsatile flow preoperatively. After shunt implantation the pulsatile CSF motion and the clinical symptoms were improved in 8 of these patients. MRI of pulsatile CSF flow movement seems to be a helpful noninvasive tool to estimate the prognosis of a shunt implantation in patients with hydrocephalus communicans.
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