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Materials and Methods In a series of 202 patients of different etiologies treated with the hydrostatic Dual-switch-valve (DSV), 22 cases were suspected of suffering from underdrainage. Using a new algorithm to differentiate between different causes of mechanical obstruction on the one hand and "functional" underdrainage, we saw an indication to exchange the DSV to one with a lower opening pressure in 15 cases.

48th Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida. Dublin, Ireland, 23-26 June 2004. Abstracts.