Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

History of Management of Slit Ventricle Syndrome in Children

This page was last updated on May 9th, 2017

Understanding of Disease

  • 1982 – slit ventricle syndrome defined: Headaches are very common in children with shunts.  The classic definition of small ventricles, a slowly filling shunt reservoir, and chronic intermittent headaches form the basis of the clinical diagnosis (2).
  • Ongoing refinement of definition: Understanding of the slit ventricle syndrome has evolved beyond this simplistic definition as a more detailed understanding of cerebral physiology has emerged.  Original descriptions of slit ventricle syndrome management predicted a more complex interplay of ventricular volume and pressure and included descriptions of small ventricles (normal volume ventricles) and shunt revision for occluded catheters (1).

Technological Development

  • Monitoring ICP: ICP monitoring can be done safely and for prolonged periods of time with portable monitors, obviating the need for lumbar puncture or accessing the shunt hardware. Monitoring the patient supine, sitting, standing, and ambulating can be useful.

Surgical Technique

  • ETV: As surgeons gained comfort with ETV, they began to report on managing slit ventricle syndrome with an ETV after externalization of the shunt and controlled enlargement of the ventricles (12).

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.