Combined Pressure-Radionuclide Evaluation of Suspected Cerebrospinal Fluid Shunt Malfunction: A Seven-Year Clinical Experience

Abstract
A simple, safe radionuclide technique for evaluating the functional status of a CSF shunt was used in the clinical management of hydrocephalus in 306 patients over 7 yr. Results of 526 studies showed greater than 99% sensitivity and accuracy in diagnosing distal shunt obstruction and 96% correct correlation with clinical outcome overall. Intrareservoir pressure measurements are especially valuable to diagnose proximal catheter shunt malfunction and to assess shunt dependency.

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