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A CISTERNOGRAPHIC CLASSIFICATION OF HYDROCEPHALUS

A. EVERETTE JAMES JR. M.SC. (RAD. SCI.), M.D.1, PAUL F. J. NEW M.D., F.A.C.R.2, E. RALPH HEINZ M.D.3, FRED J. HODGES III M.D.4, and FRANK H. DELAND M.D.5

1 Advanced Academic Fellow of the James Picker Foundation. Recommended by the Committee of Radiology NAS-NRC. Division of Nuclear Medicine, Department of Radiological Sciences, Johns Hopkins Medical Institutions, Baltimore, Maryland.
2 Chief, Division of Neuroradiology, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
3 Professor and Chairman, Department of Radiology, University of Pittsburgh Medical School, Pittsburgh, Pennsylvania.
4 Associate Professor of Radiology, Department of Radiology, Johns Hopkins Medical School, Baltimore, Maryland.
5 Professor, Department of Radiology, University of Florida, Gainesville, Florida.

Introduction of radiopharmaceuticals into the subarachnoid space for CSF imaging has become a useful and widespread procedure for differentiation of the various forms of hydrocephalus.

A cisternographic classification based on the analysis of CSF flow patterns, pneumoencephalographic manifestations, and clinical data is offered and the causes of the abnormal patterns of radiopharmaceutical movement are discussed briefly.


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