Stepping lower in valve adjustment is a fearful process. Also ventricular size would not decrease much after shunting with a G valve. Any reassuring measures in CT showing that we are little above over-drainage point can help in stepping lower more confidently.
Radiologists and clinicians are invited to answer.
This may be a usefull link:
https://www.researchgate.net/publication/49742606_Evans'_Index_Revisited_The_Need_for_an_Alternative_in_Normal_Pressure_Hydrocephalus
Article Evans' Index Revisited: The Need for an Alternative in Norma...
Thank you too much Dr. Vedran for giving me attention that volumetric measurements are much more sensitive than Evans index.
Do you know about studies using these volumetric measurements as a guide for valve adjustment?
Hey, you"re welcome. I have no information on that subject, maybe some of more experienced neuroradiologist or neuro surgeons could have these information.
Thank you too much Vedran.
I hope in the future you as a radiologist, to cooperate with neurosurgeons to work on this point.
My best wishes
You"re welcome.
Hope to learn from your experiences also in the future.
Maybe on some of my next projects or papers.
Best regards.
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