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
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.
