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January 1968

Cerebrospinal Fluid DiversionLumbar Subarachnoid Peritoneal Placement With Valve Regulation

Author Affiliations

From the Department of Neurosurgery, Western Reserve University (Drs. Dakters, Yashon, Croft, and White), and Metropolitan General Hospital (Drs. Yashon and White), Cleveland.

Arch Surg. 1968;96(1):56-57. doi:10.1001/archsurg.1968.01330190058013

THE surgical history of hydrocephalus is marked by a large number of operative procedures for control of intracranial pressure secondary to accumulation of cerebrospinal fluid (CSF).1 A recent advance has been the introduction of an interposing valve for regulation of fluid flow.2 This valve allows for a comparatively slow, steady egress of fluid and thereby constant slow decompression, rather than rapid release of fluid followed by cessation of flow. For this reason the valve control causes the shunting apparatus to remain open for a longer period of time. As almost each practicing neurosurgeon can attest, the surgical problem of hydrocephalus is not solved, and this is because of the high complication rate with present shunting procedures. In our clinics we have revived an old procedure with some success and have added to it an interposing valve. We are referring to the lumbar subarachnoid peritoneal placement1,3-6 of the

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