Outcome analysis of shunt surgery in hydrocephalus
- PMID: 20376249
- PMCID: PMC2847144
- DOI: 10.4103/0971-9261.57700
Outcome analysis of shunt surgery in hydrocephalus
Abstract
Aim: To study the clinical outcome of shunt surgeries in children suffering from hydrocephalus.
Methods: A prospective study of 50 children with hydrocephalus who underwent a ventriculo-peritoneal shunt insertion over a period of two years. These patients were then followed up for shunt related complications, shunt revisions and outcome.
Results: Twenty six of the 50 patients (52%) suffered from complications. The most common complications were shunt blockage (n=7) and shunt infection (n=6). These complications necessitated repeated shunt revisions.
Conclusions: Infective complications of hydrocephalus are more likely to leave behind an adverse neurological outcome in the form of delayed milestones and mental retardation.
Keywords: Complications; hydrocephalus; outcome; shunt revision; shunt surgery.
Conflict of interest statement
Figures
Similar articles
-
Laparoscopic-assisted placement of ventriculo-peritoneal shunt tips in children with multiple previous open abdominal ventriculo-peritoneal shunt surgeries.Eur J Pediatr Surg. 2009 Apr;19(2):79-82. doi: 10.1055/s-2008-1039159. Epub 2009 Feb 25. Eur J Pediatr Surg. 2009. PMID: 19242905
-
Implementing a digital real-time Hydrocephalus and Shunt Registry to evaluate contemporary pattern of care and surgical outcome in pediatric hydrocephalus.Childs Nerv Syst. 2018 Mar;34(3):457-464. doi: 10.1007/s00381-017-3654-0. Epub 2017 Nov 9. Childs Nerv Syst. 2018. PMID: 29124391
-
Ventriculoperitoneal shunt complications needing shunt revision in children: a review of 5 years of experience with 48 revisions.Afr J Paediatr Surg. 2012 Jan-Apr;9(1):32-9. doi: 10.4103/0189-6725.93300. Afr J Paediatr Surg. 2012. PMID: 22382102
-
Hydrocephalus and epilepsy.Childs Nerv Syst. 2001 Jan;17(1-2):76-86. doi: 10.1007/s003810000381. Childs Nerv Syst. 2001. PMID: 11219629 Review.
-
Rate and Risk Factors for Shunt Revision in Pediatric Patients with Hydrocephalus-A Population-Based Study.World Neurosurg. 2017 May;101:615-622. doi: 10.1016/j.wneu.2017.02.030. Epub 2017 Feb 14. World Neurosurg. 2017. PMID: 28213196 Review.
Cited by
-
Hydrocephalus Indian scenario - A review.J Pediatr Neurosci. 2011 Oct;6(Suppl 1):S11-22. doi: 10.4103/1817-1745.85704. J Pediatr Neurosci. 2011. PMID: 22069421 Free PMC article.
-
Use of programmable versus nonprogrammable shunts in the management of normal pressure hydrocephalus: A multicenter retrospective study with cost-benefit analysis in Turkey.Medicine (Baltimore). 2017 Sep;96(39):e8185. doi: 10.1097/MD.0000000000008185. Medicine (Baltimore). 2017. PMID: 28953678 Free PMC article.
References
-
- Milhorat TH. Paediatric neurosurgery. Philadelphia: Davis Company; p. 99. Paediatric neurosurgery Philadelphia: Davis Company; 1978 p 99.
-
- Sainte-Rose C, Piatt JH, Renier D, Pierre-Kahn A, Hirsch JF, Hoffman HJ, et al. Mechanical complications in shunts. Pediatr Neurosurg. 1991-92;17:2–9. - PubMed
-
- Kaufman BA. Management of complications of shunting. Paediatr Neurosurg. 2001;44:529–47.
-
- Myrianthopoulos NC, Kurland LT. Present concepts of the epidemiology and genetics of hydrocephalus. Disord Dev Nervous Syst. 1961;Vol 2 vol mis:187–202.
-
- Mark Dias S. Myelomeningocele. Textbook of paediatric neurosurgery. 1999:253–69.