Evaluation of radionuclide cerebrospinal fluid scintigraphy as a guide in the management of patients with hydrocephalus.
OBJECTIVE
Radionuclide cerebrospinal fluid scintigraphy (RCFS) has long been clinically applied in the diagnosis of hydrocephalus. This study aims to evaluate the clinical value of RCFS as a guide in the management of patients with hydrocephalus.


METHODS
Thirteen patients with hydrocephalus were investigated. They underwent RCFS scanning and computed tomography/magnetic resonance imaging examination in our hospital. Follow-up treatment was performed, and prognosis was made.


RESULTS
Four of seven patients diagnosed with obstructive hydrocephalus by RCFS underwent endoscopic third ventriculostomy, and five of six patients diagnosed with obstructive hydrocephalus underwent ventriculoperitoneal shunt. All patients who underwent operation had good prognosis on follow-up after at least 1 year.


CONCLUSIONS
RCFS can definitely differentiate obstructive hydrocephalus from communicating hydrocephalus and had significance as a guide in the treatment of patients with hydrocephalus.
Feng
Fang
F
Department of Nuclear Medicine, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China. fengfang0815@163.com
Fu
Hong Liang
HL
Li
Jia Ning
JN
Zhou
Ren Jian
RJ
Gui
Zhen Hui
ZH
Wu
Jing Chuan
JC
Wang
Hui
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D002555:Cerebrospinal Fluid / Q000000981:diagnostic imaging*; D002557:Cerebrospinal Fluid Shunts; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging* / Q000601:surgery; D007223:Infant; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D016284:Technetium Tc 99m Pentetate; D014696:Ventriculostomy; D055815:Young Adult
D019275:Radiopharmaceuticals; D016284:Technetium Tc 99m Pentetate