Anthony Podgoršak, Fabian Flürenbrock, Nina Eva Trimmel, Leonie Korn, Markus Florian Oertel, Lennart Stieglitz, Sandra Fernandes Dias, Melanie Michaela Hierweger, Melanie Zeilinger, Miriam Weisskopf, Marianne Schmid Daners
As a concept, drainage of excess fluid volume in the cranium has been around for more than 1000 years. Starting with the original decompression-trepanation of Abulcasis to modern programmable shunt systems, to other nonshunt-based treatments such as endoscopic third ventriculostomy and choroid plexus cauterization, we have come far as a field. However, there are still fundamental limitations that shunts have yet to overcome: namely posture-induced over- and underdrainage, the continual need for valve opening pressure especially in pediatric cases, and the failure to reinstall physiologic intracranial pressure dynamics...
2024: Advances and Technical Standards in Neurosurgery