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PATIENT HANDBOOK

GB

A BRIEF PATIENT GLOSSARY

Anatomy 

A guide to the structure of body components

Arachnoid 

Connective tissue in the brain that lies between the 
dura mater and the pia mater

Catheter 

Tube

Cerebrospinal fluid 

Watery spinal fluid in the brain 

Communicating vessels 

Vessels that are connected by a channel

Computed tomography (CT) 

Imaging technique whereby „slices“ of the body are 
recorded with an X-ray scanner

Drainage 

Drainage of accumulated fluid

Dura mater 

The hardest component of the meninx

Fluid component 

Cerebrospinal fluid component

Fontanel 

Connective tissue opening in a young infant’s skull 
that later ossifies

Implant 

Substance that is placed in the human body to re-
place a particular function for a limited period of 
time or for the rest of the patient’s life

Lumbar puncture 

Puncture of the spinal channel at the lower spine

Lumboperitoneal drainage 

Drainage of cerebrospinal fluid from the ventricle 
of the brain, by way of the region of the lumbar 
vertebrae in the abdominal cavity 

Meninges 

Membrane found in the brain and spine

Meningitis

Inflammation of the meninx

Minimally invasive 

Minimally infiltrating

Overdrainage 

Undesirable outward flow of cerebrospinal fluid

Peritoneum 

Membrane that covers the pelvic and abdominal 
cavities

Pia mater 

Component of the soft meninx containing blood 
vessels

Piaarachnoid 

Soft component of the meninx that is divided into 
the arachnoidea and pia mater

Puncture 

Insertion of a hollow needle or a trocar into a vessel 
for the purpose of removing fluid

Resorption 

Suctioning or removal of material through skin, mu-
cosa, or tissue

Shunt 

A passage between two channels – here a catheter 
drainage system with an integrated valve

Spinal column 

Element  of the central nerous system located 
within the vertebral channel

Subcutaneous pressure 

Pressure  beneath the skin

Subdural hematoma 

An accumulation of blood between the brain and 
cranium

Ventricle of the brain

Intracranial space containing cerebrospinal fluid

Ventricular peritoneal drainage

Drainage of cerebrospinal fluid from the ventri-
cle of the brain directly into the abdominal 

 

cavity (abdominal catheter)

Содержание GAV

Страница 1: ...s this device to sale by or on order of a physician USA CHRISTOPH MIETHKE GMBH CO KG 0297 Patientenhandbuch Patient Handbook Manuel du patient Manual para el paciente Manuale per il paziente D F E I G...

Страница 2: ......

Страница 3: ...Abb 1 Fig 1 Abb 9 Fig 9 1 2 3 4 5 6 1 2 3 4 a b...

Страница 4: ......

Страница 5: ...sser Liquor umgeben Im Inneren des Kopfes befinden sich mehrere Hirnkammern so genannte Ventrikel in denen das Hirnwasser produziert wird Die Ventrikel sind durch Kan le untereinander ver bunden und s...

Страница 6: ...ezeichnet Ultraschall Nur bei kleinen Kindern kann bei diesem Verfahren durch die offene Fontanelle das Kopfinnere unter sucht werden Durch Druckmessungen kann eine Erh hung des Hirndrucks festgestell...

Страница 7: ...t der Hirn innendruck unabh ngig von der K rperlage er h ht die Hirnkammern sind erweitert Abb 5 Abb 5a Hirnkammerdruck beim kranken Menschen in liegender Position 1 Hirnkammerbeh lter 2 Erweiterte Hi...

Страница 8: ...system eingesetzt bewirkt dies eine Erh hung des Wasserspiegels im Hirnkammerbeh lter um den ffnungsdruck des Ventils Jetzt wirken die Hirn kammerbeh lter und die Bauchh hlenbeh lter erst dann zusamm...

Страница 9: ...ch der Oberk rper des Patienten ist desto gr er ist der ffnungsdruck des GAV Das ist notwendig da sich der H henunterschied zwischen Hirnkam mern und Bauchh hle vergr ert siehe physika lische Grundlag...

Страница 10: ...mark Fl ssigkeit oder Hirnwasser Liquorbestandteile Hirnwasserbestandteile Lumbalpunktion Punktion des R ckenmarkskanals am unteren Teil der Wirbels ule Lumbo peritoneale Ableitung Ableitung des Hirnw...

Страница 11: ...11 PATIENTENHANDBUCH D NACHUNTERSUCHUNGEN Eine Nachuntersuchung ist in jedem Fall erforderlich Datum Behandlung Notizen und Anmerkungen...

Страница 12: ...erebrospinal fluid CSF Ce rebrospinal fluid is produced in several chambers so called ventricles that are found within the brain The channels by which the ventricles are intercon nected constitute a c...

Страница 13: ...I scanning Ultrasound This procedure in which the interior of the head is examines through the open fontanel can only be applied to small children Another way of diagnosing hydrocephalus is through pr...

Страница 14: ...ocephalus drainage The ventricle pressure and the pressure in the ab dominal cavity are represented by water levels In a healthy human the ventricular pressure water level in the ventricle container i...

Страница 15: ...l both water levels are at the same height This means however that the ventricle container is emptied completely Since the ventricles do not have rigid walls this emptying leads to a contraction of th...

Страница 16: ...tional overdrainage of cerebrospinal fluid fig 8 x opening pressure in horizontal position 1 ventricle container 2 ventricles 3 drainage tube 4 abdominal cavity 5 abdominal container 6 GAV Fig 8 Ventr...

Страница 17: ...external pressure on the functioning of the valve to a negligible minimum Hence a high level of functional reliability and a long service life are guaranteed Fig 10 GAV scale 1 1 27 4 mm 4 6 mm Warni...

Страница 18: ...on of the lumbar vertebrae in the abdominal cavity Meninges Membrane found in the brain and spine Meningitis Inflammation of the meninx Minimally invasive Minimally infiltrating Overdrainage Undesirab...

Страница 19: ...19 PATIENT HANDBOOK GB FOLLOW UP EXAMINATIONS A follow up examination must be carried out in all cases Date Treatment Notes and comments...

Страница 20: ...S DE BASE Le cerveau humain fig 1 baigne dans un liquide biologique particulier appel le liquide c phalo rachidien LCR L int rieur du cr ne comprend plusieurs cavit s c r brales appel es ventricules d...

Страница 21: ...ue sur les tout petits enfants pour examiner l int rieur de la t te par la fontanelle ouverte Enfin des mesures de pression permettent de constater une hausse de la pression intracr ni enne Les produi...

Страница 22: ...de 0 fig 4 En cas d hydroc phalie la pression intraventricu laire est accrue ind pendamment de la position du corps le niveau hydrostatique du r cipient ventri culaire est bien sup rieur 0 Les ventric...

Страница 23: ...tube jusqu ce que les deux niveaux hydrostatiques soient quilibr s Mais dans ce cas le r cipient ventricu laire est enti rement vid Les ventricules n tant pas rigides cet coulement entra ne la contrac...

Страница 24: ...ne orient e sur les valeurs en pr sence chez l homme sain Une valve ressort commande la pression intracr nienne lorsque le patient est couch D s que le patient se rel ve une lourde bille en tantale es...

Страница 25: ...nt en arachno de et pie m re Liquide c phalorachidien LCR Liquide contenu dans le cerveau et la moelle pini re M ningite Inflammation des m ninges Moelle pini re Partie du syst me nerveux central enfe...

Страница 26: ...26 MANUEL DU PATIENT F EXAMENS DE CONTR LE Un examen de contr le est n cessaire dans tous les cas Date Traitement Notes et remarques...

Страница 27: ...aje El l quido circula a trav s de estos ventr culos y desemboca final mente en el sistema venoso La tarea del l quido cefalorraqu deo consiste en proteger al cerebro de da os mec nicos Adem s regula...

Страница 28: ...minar un aumento de la presi n cerebral Los an lisis con medios de contraste sirven para analizar la circula ci n del l quido cefalorraqu deo TRATAMIENTO A pesar del esfuerzo realizado para encontrar...

Страница 29: ...en el recipiente ventri cular es bastante mayor de 0 Los ventr culos est n aumentados fig 5 Ahora es imprescindible reducir la presi n intra craneal independientemente de la posici n corpo ral y resta...

Страница 30: ...os Una consecuencia de esto puede ser el mencionado cierre del sistema de drenaje El l quido cefalorraqu deo es succionado y el ce rebro se deforma Pero si el cerebro se contrae puede producirse como...

Страница 31: ...rporaci n del paciente activa una pesada bola de t ntalo que provoca un aumento de la presi n de apertura de la v lvula ayudada por la fuerza de gravedad Cuanto m s vertical se encuentra la parte supe...

Страница 32: ...rganismo Leptomeninge Meninge blanda formada por la aracnoides y la piamadre L quido cefalorraqu deo L quido contenido en los ventr culos cerebrales y el conducto medular M dula espinal Porci n intrar...

Страница 33: ...33 MANUAL PARA EL PACIENTE E EX MENES POSTERIORES En todos los casos se requiere un examen posterior Fecha Tratamiento Notas y observaciones...

Страница 34: ...tema di deflusso estre mamente complesso Il liquor circola attraverso le camere cerebrali ed infine escreto nel circolo venoso La funzione del liquor quella di proteg gere il cervello da ogni danno me...

Страница 35: ...si possono utilizzare indagini con mezzi di contrasto METODI DI TRATTAMENTO Nonostante tutti gli sforzi fatti per trovare terapie alternative all impianto di una valvola come ad es trattamenti farmac...

Страница 36: ...o delle camere cerebrali 2 Camere cerebrali dilatate Fig 5a Pressione nelle camere cerebrali dei pazienti affetti da idrocefalo in posizione stesa 0 1 2 0 1 Fig 5b Pressione nelle camere cerebrali dei...

Страница 37: ...si nella posizione corporea stesa La pressione di apertura della valvola che conce pita per la posizione stesa tuttavia notevolmente inferiore al predetto dislivello tra camere cerebrali e cavit addom...

Страница 38: ...busto del paziente verticale tanto maggiore la pressione d apertura della GAV Ci necessario in quanto aumenta la differenza d altezza tra le camere ce rebrali e la cavit addominale vedere la sezione F...

Страница 39: ...ivide in aracnoide e pia madre Liquor fluido cerebro spinale Fluido presente nell encefalo e nel midollo spinale Meningi Membrane che rivestono l en cefalo ed il midollo spinale Meningite Infiammazion...

Страница 40: ...40 MANUALE PER IL PAZIENTE I SUCCESSIVI CONTROLLI Successivi controlli sono assolutamente necessari in tutti i casi Data Trattamento Appunti ed annotazioni...

Страница 41: ......

Страница 42: ...Technical alterations reserved Sous r serve de modifications techniques Sujeto a modificationes t cnicas Con riserva di modifiche tecniche Manufacturer acc MDD 93 42 EEC CHRISTOPH MIETHKE GMBH CO KG...

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