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Comparative Analysis of Cerebrospinal Fluid Dynamics in the Ventriculo-Cisternal Fluid Pathway and Shunt-independent Arrested Hydrocephalus after Neuroendoscopic Ventriculostomy

Research Project

Project/Area Number 12671384
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Cerebral neurosurgery
Research InstitutionJikei University School of Medicine (2001-2002)
Tokai University (2000)

Principal Investigator

OI Shizuo  Jikei University, Professor, 医学部, 教授 (30194062)

Co-Investigator(Kenkyū-buntansha) TOSHIAKI Abe  Jikei University, Research Assistant, 医学部, 教授 (30112808)
NOBUYOSHI Kaito  Jikei University, Research Assistant, 医学部, 助手 (30224330)
TATSUHIRO Joki  Jikei University, Professor, 医学部, 助手 (30226378)
津金 隆一  東海大学, 医学部, 教授 (70022902)
篠田 正樹  東海大学, 医学部, 講師 (70196393)
松前 光紀  東海大学, 医学部, 助教授 (20209604)
Project Period (FY) 2000 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2002: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 2001: ¥500,000 (Direct Cost: ¥500,000)
Keywordsventriculostomy / Treatment of Hydrocephalus / neuroendoscopic surgery / experimental neuroendoscopic surgery / Cardiac-gated Cine-MRI / CSF Circulation / ICP Dynamics / Regional ICP Monitoring / 水痘症治療 / Neuro-Endoscopic Surgery / 髄液主循環路の髄液循環 / 中脳水道閉塞 / cardiac-gated cine-MRI / 髄液流動動態 / 局所髄液循環路
Research Abstract

The characteristics of the cerebrospmal fluid (XSF) dynamics in the individual specific pathophysiologies were delineated by cardiac-gated cine-mode magnetic resonance imaging (MRI) before and after the endoscopic procedure. Neuroendoscopic surgery was used tp treat patients with various forms of hydrocephalus with specific pathophysiology, including long-standing overt ventriculomegaly in adulthood (LOVA), isolated unilateral hydrocephalus (IUH), isolated IV ventricle (IFV), disproportionately large IV ventricle (DLFV), isolated rhombencephahc ventricle (IRV) isolated quarto-ventriculomegaly (IQV), dorsal sac in holoprosencephaly (DS) and loculated ventricle (LV).These procedures included III ventnculostomy, aqueductal plasty by both rostral and caudal approaches, foraminal plasty in the foramen of Monro/foramen of Magendie, septostomy, IV ventnculostomy, fenestration of septation in the loculated ventricle fenestration of arachnoid cyst or cystic tumor obstructing a ventricle with or … More without tumor removal and dorsal sac ventnculostomy The postoperative changes of ventriculomegaly were complicated, reflecting the differences in the brain parenchymal compliance and postoperatively corrected CSF flow dynamijcs in the major CSF pathway. Patients with obstructive hydrocephalus and a history of either hemorrhage or infection may be good candidates for ETV with safety and success rates comparable with those in more general series of patients. Patients who have sustained both hemorrhage and infection are poor candidates for ETV, except m selected cases and as a treatment of last resort. In patients who have previously undergone shunt placement posthemorrhage, ETV is highly successful. It is also highly successful m patients with primary aqueductal stenosis even in those with a history of hemorrhage or CSF infection. It was found that the operative goal creating the state of arrested hydrocephalus, could be obtained by opening the ventricular isolation but not always by achieving communication with the cisterns especially in infants. This may be due to the immaturity of the subarachnoid CSF dynamics in the infants. Pre-and postoperative cine-mode MRI is a very useful ijiethod of estimating the CSF dynamics in the major CSF pathway. Less

Report

(4 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report
  • 2000 Annual Research Report
  • Research Products

    (46 results)

All Other

All Publications (46 results)

  • [Publications] Oi S, Shimoda M, Shibata M, Honda Y, Togo K, Shinoda M, Tsugane R, Sato O: "Pathophysiology of Long-standing Overt Ventriculomegaly in Adults (LOVA)"J Neurosurg. 92. 933-940 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oi S, Shibata M, Tominaga J, Honda Y, Shinoda M, Takei F, Tsugane R, Matsuzawa K, Sato O: "Efficacy of Neuroendoscopic Procedures in "Minimally-invasive" Preferential Management of Pineal Region Tumors -A Prospective study -"J.Neurosurg. 93. 245-253 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Miyake H, Ohta T, Oi S, Kajimoto Y, Ogawa D: "Isolated dilation of the Trigono-inferior Horn -Four case Reports"Neurologia medico-chirurgica. 40. 179-185 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oi S, Kamio M, Joki T, Abe T: "Neuroendoscopic anatomy and surgery in pineal region tumors : role of neuroendoscopic procedure in the 'minimally-invasive preferential' management"J Neurooncol. 54. 277-286 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Shinoda M, Hidaka M, Lindqvist F, Soderstrom S, Matsumae M, Oi S, Sato O, Tsugane R, Ebendal T, Olason L: "NGF, NT-3 and Trk C mRNAs, but not TrkA mRNA, are upregulated in the paraventricular structures in experimental hydrocephalus"Child's Nerv Syst. 17. 704-712 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Siomin V, Cinalli G, Grotenhuis A, Golash A, Oi S, Kothbauer K, Weiner H, Roth J, Beni-Adani L, Pierre-Kahn A, Takahashi Y, Mallucci C, Abbott R, Wisoff J, Constantini S: "Endoscopic Third Ventriculostomy in Patients with Cerebrospinal fluid Infection and/or Hemorrhage"J. Neurosurg 97:519-524,2002. 97. 519-524 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Babapour B, Oi S, Klekamp J, Boozari B, Hussein S, Samii M: "Congenital Hydrocephalus and Associated Hydromyelia -A Pathological Study in Experimental Rat Model-"Nervous System in Children. 27. 243-249 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Joki T, Oi S, Babapour B, Kaito N, Ohashi K, Ebara M, Kato M, Abe T: "Neuroendoscopic placement of Ommaya reservoir into a cystic craniopharyngioma"Child Nerv Syst. 2002 Nov;18(11);629-633. 18. 629-633 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 大井静雄, 松原 修, 海渡信義, 常喜達裕, 藤井元晴, 大橋一善, 荏原正幸, 加藤正高, 谷 諭, 阿部俊昭, Babak Babapour, Amir Samii, Madjid Samii: "二分脊椎の発生病態・外科解剖学的分類[ESPAC-SB]別にみた対象分類と神経学的スケール[SBNS]による成長発達に伴う神経症候の経年的評価と重傷度分類"小児の脳神経. 27. 213-222 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oi S, Kim DS, Hidaka M: ""Hydrocephalus-Parkinsonism Complex" : Progressive hydrocephalus as a factor affecting extrapyramidal trac disorder -An experimental study"Childs Nerv Syst. 2003. (in contributing). (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oi S: "Fetal Surgery for Congenital CNS Anomalies"ASPN Pediatric Neurosurgery : Surgery of the Developing Nervous System. McLone DG et al.(Ed.)pp1274-1280. 1344 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oi S: "Fetal Hydrocephalus Monograph "Fetal CNS anomalies""Springer-Verlag, Germany Current Status of Prenatal Management for Fetal Spina Bifida in the world : Worldwide cooperative survey on the medico-ethical issue Fetal HydrocephalusMonograph Chapter 4. Diagnosis, Outcome and Management of Fetal Abnormalities Alain Pierre-Kahn and Shizuo Oi(Ed)(in press). (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oi S: ""Pediatric Hydrocephalus Book" G.Cinalli, C.Sainte-Rose, W.Maixner Ed"Classification and Definition of Hydrocephalus -Origin, Controversy and Assignment of the Terminology -(in press). (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oi S: "Clinical Neuroendoscopy Abbott R.(Ed.)"W.B. Saunders Co Isolated Compartments in Hydrocephalus -The Pathophysiology and Efficacy of Neuroendoscopic Surgery -(in press). (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 大井静雄: "小児科学 第25版"神経・筋疾患:頭部外傷. 1457-1462 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 大井静雄: "「脳神経外科手術と麻酔」坂部武史編"小児脳神経外科:手術. 391-405 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 大井静雄: "脳神経外科 臨床指針 橋本信夫 編集"出生前胎内診断とその管理. 520-527 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Hideyuki Rashiwagi, Nobuo Omura, Fumiaki Yano, Yoshio Ishibashi, Teruaki Aoki,: "Laparoscopic fundop lication for gastroesophageal reflux disease"GEKATIRYO,. (4). 474-478, (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Hideyuki KASHJWAGI, Nobuo OMURA, Fumiaki YANO,Yoshio ISHIBASHI, Nobuyoshi HANYU,Teruaki AOKI: "Clinical evaluation of laparoscopic fundoplication for gastroesophageal reflux disease."Jun J Gastroenterol Surg,. 34(4):. 345--350, (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Joki T, Oi S, Babapour B, Kaito N, Ohashi K, Ebara M, Kato M, Abe T.: "Neuroendoscopic placement of Ommaya reservoir into a cystic craniopharyngioma"Childs Nerv Syst.. 18(11). 629-633 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Siomin V, Cinalli G, Grotenhuis A, Golash A, Oi S, Kothbauer K, et al.: "Endoscopic third ventriculostomy in patients with cerebrospinal fluid infection and/or hemorrhage"J. Neurosurg. 97. 519-524 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Babapour B, Oi S, Klekamp J, Boozari B, Hussein S, Samii M: "Congenital Hydrocephalus and Associated Hydromyelia -A Pathological Study in Experimental Rat Model -"Nervous System in Children. 27. 243-249 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 大井静雄, babak Babapour, 松原 修, 海渡信義, 舟橋鏡一, 吉澤穣治他: "古典的な顕在性・潜在性二分脊椎の分類法の矛盾と二分脊椎の発生病態・外科解剖学的にみた分類法の必要性"小児の脳神経. 27(4). 328-329 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 大井静雄, 松原 修, 海渡信義, 常喜達裕, 藤井元晴, 大橋一善他: "二分脊椎の発生病態・外科解剖学的分類[EPSAC-SB]別にみた対象分類と神経学的スケール[SBNS]による成長発達に伴う神経症候群の経年的評価と重症度分類"小児の脳神経. 27(3). 213-222 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 大井静雄: "小児科学 第25版"神経・筋疾患:頭部外傷. 1457-1462 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 大井静雄: "「脳神経外科手術と麻酔」坂部武史編"小児脳神経外科:手術. 391-405 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 大井静雄: "脳神経外科 臨床指針 橋本信夫編集"出生前胎内診断とその管理. 520-527 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Oi S, Kamio M, Joki T, Abe T: "Neuroendoscopic Anatomy and Surgery in Pineal Region Tumors. -Roll of neuroendoscopic procedure in the ゛minimally-invasive preferential"management-"J.Neuro-Oncology, Special Issue, ゛Pineal Region Tumor". (in press). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 大井静雄: "Dandy-Walker症候群"小児科診療Vol.64/Suppl.. 90. (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kuwayama F, Hamasaki Y, Oi S, Shinohara O, et al: "Moyamoya Disease Complicated with Renal Argery Stenosis and Nephrotic Syndrome : Reversal of Nephrotic Syndorme after Nephrectomy"J.Pediatrics. 138. 418-420 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Shinoda M, Hidaka M, Oi S, Olason L, et a.: "NGF, NT-3 and Trk C mRNAs, but not TrkA mRNA, are upregulated in the paraventricular structures in experimental hydrocephalus"Child's Nerv Syst. 17. 704-712 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 佐藤顕彦, 大井静雄: "頭蓋内への連続性の進展をみた頚・胸髄脂肪腫の1例"脊髄外科. (in press). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Oi S: "゛Clinical Neuroendoscopy" Abbott R.(Ed.) Isolated Compartments in Hydrocephalus -The Pathophysiology and Efficacy of Neuroendoscopic surgery"W.B.Saunders Co. (in press). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 大井静雄: "図説脳神経外科 New Approach 第10巻 「小児神経外科の手術手技」"メジカルビュー社. 180(70-73) (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 大井静雄, 神尾正巳, 常喜達裕, 阿部俊昭: "山浦 晶 編集:脳神経外科手術アトラス 山浦 晶 編集 神経内視鏡手術 1.脳室へのアプローチ"医学書院 (in press). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Oi S,Shimoda M,Shibata M,Honda Y,Togo K,Shinoda M,Tsugane R,Sato O: "Pathophysiology of Long-standing Overt Ventriculomegaly in Adults (LOVA)"J.Neurosurg. 92. 933-940 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Oi S,Shibata M,Tominaga J,Honda Y,Shinoda M,Takei F,Tsugane R,Matsuzawa: "Efficacy of Neuroendoscopic Procedures in "Minimally-invasive" Preferential Management of Pineal Region Tumors-A Prospective Study-"J.Neurosurg. 93. 245-253 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 大井静雄: "Independent Compartment Phenomena(独立隔室現象):幼若脳における頭蓋内圧・脳組織内酸素代謝動態の特殊性-動物実験モデルによる実証-"脳と発達. 32. 102-109 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 大井静雄: "神経内視鏡の小児疾患への臨床応用とその将来展望"「小児科」. 41・9. 1579-1585 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 大井静雄: "硬膜下液貯留"別冊日本臨牀 領域別症候群シリーズ28 神経症候群. 28. 737-741 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Oi S: ""Pediatric Neurosurgery : Surgery of the Developing Nervous System" Fetal Surgery for Congenital CNS Anomalies"Saunders,ASPN. 1344 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 大井静雄: "脳神経外科疾患の手術と適応 第2版 1.中枢神経系奇形の外科治療の変遷と最新の手術 3.二分脊椎"朝倉書店(印刷中). (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 大井静雄,高倉公明,斎藤勇,佐藤潔 編集: "図説脳神経外科New Approach 7「脊髄[機能・解剖・手術]」二分脊椎"メジカルビュー社. 168-175 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 大井静雄,高倉公明 監修,堀智勝,平孝臣,井関洋 編集: "「脳神経外科の最先端No.2 21世紀の新領域とニューテクノロジー」水頭症の新概念と治療"先端医療技術研究所. 200-205 (2000)

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      2000 Annual Research Report
  • [Publications] 大井静雄 編集,佐藤潔 監修: "「最新小児脳神経外科学」"三輪書店. 265 (2000)

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      2000 Annual Research Report
  • [Publications] 大井静雄,高倉公明,斎藤勇,佐藤潔 編集: "図説脳神経外科New Approach第10巻「小児神経外科の手術手技」中枢神経系先天奇形の手術 顕在性二分脊椎 神経内視鏡手術"メジカルビュー社(印刷中). (2000)

    • Related Report
      2000 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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