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J Neurol Surg A Cent Eur Neurosurg 2024; 85(05): 492-500
DOI: 10.1055/s-0044-1785671
Review Article

Low-/Negative-Pressure Hydrocephalus: To Understand the Formation Mechanism from the Perspective of Clinicians

Guangzhao Li
1   Department of Neurosurgery, The First People's Hospital of Hefei, Hefei, Anhui, Peoples' Republic of China
,
Bin Lin
1   Department of Neurosurgery, The First People's Hospital of Hefei, Hefei, Anhui, Peoples' Republic of China
,
Fei Yang
1   Department of Neurosurgery, The First People's Hospital of Hefei, Hefei, Anhui, Peoples' Republic of China
› Institutsangaben Funding None.
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Abstract

Low-/negative-pressure hydrocephalus (LPH/NePH) is uncommon in clinical practice, and doctors are unfamiliar with it. LPH/NePH is frequently caused by other central nervous system diseases, and patients are frequently misdiagnosed with other types of hydrocephalus, resulting in delayed treatment. LPH/NePH therapy evolved to therapeutic measures based on “external ventricular drainage below atmospheric pressure” as the number of patients with LPH/NePH described in the literature has increased. However, the mechanism of LPH/NePH formation is unknown. Thus, understanding the process of LPH/NePH development is the most important step in improving diagnosis and treatment capability. Based on case reports of LPH/NePH, we reviewed theories of transcortical pressure difference, excessive cerebral venous drainage, brain viscoelastic changes, and porous elastic sponges.

Keywords

low-pressure hydrocephalus - negative-pressure hydrocephalus - cerebral viscoelasticity change theory - excessive drainage of cerebral veins theory - porous elastic sponge theory


Publikationsverlauf

Eingereicht: 30. August 2023

Angenommen: 17. Januar 2024

Artikel online veröffentlicht:
30. April 2024

© 2024. Thieme. All rights reserved.

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