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REFINEMENTS IN CEREBROSPINAL FLUID DIVERSIONARY SHUNT EVALUATION BY CISTERNOGRAPHY

A. EVERETTE JAMES JR. SC.M. (RAD. SCI.), M.D.1, HAROLD J. DEBLANC JR. M.D.2, FRANK H. DELAND M.D.3, and ERNEST S. MATHEWS M.D.4

1 Advanced Academic Fellow of James Picker Foundation, recommended by the Committee on Radiology of the National Academy of Sciences—National Research Council; Assistant Professor of Radiology, Johns Hopkins Medical Institutions, Baltimore, Maryland.
2 Assistant Professor of Radiology, Johns Hopkins Medical Institutions, Baltimore, Maryland.
3 Professor of Radiology; Chief, Division of Nuclear Medicine, University of Florida, Gainesville, Florida.
4 Associate Professor of Neurosurgery, Division of Pediatric Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland.

Shunt evaluation by cisternography requires proper placement of the radiopharmaceutical and obtaining images in suitable areas.

Injection either directly into the lateral ventricle, into the shunt system, or into the lumbar subarachnoid space is desirable depending upon the clinical circumstances of the study.

Quantification of the disappearance of radioactivity from the lateral ventricle may be necessary to determine adequate shunt function.


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