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Safety and efficacy of intracranial vascularized submental lymph node transfer for treating hydrocephalus |
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| Authors: | Robin Wu MD Yu-Jen Lu MD PhD Long-Sun Ro MD PhD Jung-Lung Hsu MD Ming-Huei Cheng MD MBA |
| Affiliation: | 1. Department of Plastic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan College of Medicine, Chang Gung University, Taoyuan, Taiwan;2. College of Medicine, Chang Gung University, Taoyuan, Taiwan Department of Neurosurgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan;3. Department of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan;4. Department of Neurology, New Taipei Municipal TuCheng Hospital, New Taipei City, Taiwan;5. A+ Surgery Clinic, Taipei, Taiwan |
| Abstract: | Hydrocephalus is routinely treated with ventriculoperitoneal shunt drainage of cerebrospinal fluid (CSF), a procedure plagued by high morbidity and frequent revisions. Vascularized submental lymph node (VSLN) transplants act as lymphatic pumps to drain interstitial fluid (ISF) from lymphedematous extremities. As the field of neuro-lymphatics comes to fruition, we hypothesize the efficacy of VSLN in the drainage of intracranial CSF-ISF. We report novel placement of VSLN in the temporal subdural space in two patients diagnosed with symptomatic communicating hydrocephalus. At a minimum follow-up of 1 month postoperatively, both experienced radiological and clinical improvements. |
| Keywords: | cerebrospinal fluid hydrocephalus vascularized submental lymph node transfer |
