Cerebral ventricular shunts

Naradzay, Jerome F.X.; Browne, Brian J.; Rolnick, Michael A.; Doherty, Robert J.

doi:10.1016/s0736-4679(98)00168-1

Cited by 43 publications

(28 citation statements)

References 64 publications

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“…The most common microbial cause of SI in our study was coagulase-negative Staphylococcus followed by S. aureus. These 2 organisms are also the most common organisms implicated in most cases of SI in the literature [5,7,13,14,15,16]. Although in the previous study from our center [3] S. aureus (36.4%) was the most common organism, in the current study coagulase-negative Staphylococcus occurred more commonly (29.4%), followed by S. aureus (23.5%).…”

Section: Discussionmentioning

confidence: 44%

Determinants and Outcomes of Ventriculoperitoneal Shunt Infections in Enugu, Nigeria

et al. 2013

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Background: To evaluate the determinants and outcomes of shunt infection (SI). Methods: One hundred ninety-eight pediatric hydrocephalic patients treated with a ventriculoperitoneal (VP) shunt between January 2008 and August 2012 were retrospectively studied. Patients with SI were compared to those without SI in terms of the occurrence of risk factors and outcomes. Data was analyzed using Statistical Package for the Social Sciences software (version 15). Results: The age range was 2 weeks to 13 years, with a mean age of 3.1 ± 0.19 years for the SI group versus 2.7 ± 0.2 years for those without SI. One hundred and twelve patients were female and 86 were male. SI was recorded in 17 (8.6%) patients. Postinfective hydrocephalus (n = 6) was the most common cause of hydrocephalus in the SI group. Individuals in the SI group, compared to those without infection, were more likely to be underweight (χ² = 23.4, p < 0.01). The mean interval between VP shunt placement and SI was 1.83 ± 1.25 months. Coagulase-negative Staphylococcus (29.4%) was the most common pathogen. The mortality rate in our series was 21.4% in patients with SI compared to 2.7% in those without SI. Conclusion: Coagulase-negative Staphylococcus is currently the most common cause of SI and underweight children appear have a higher risk.

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Section: Discussionmentioning

confidence: 44%

Determinants and Outcomes of Ventriculoperitoneal Shunt Infections in Enugu, Nigeria

et al. 2013

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“…1 Ventriculoperitoneal shunt (VPS) is the most common procedure for the management of hydrocephalus. 2 Subdural bleeding is frequently seen following VPS, but EDH is rare. 3,4 Extraaxial mass lesions (subdural hematoma), extradural hematomas and intraparenchymal mass lesions (contusions and intracerebral hematomas) can be seen after traumatic brain injuries (TBI).…”

Section: Introductionmentioning

confidence: 99%

Epidural hematoma: postoperative complication

et al. 2017

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Epidural hematoma is an indication for emergency neurosurgical intervention. This condition is an extremely rare postoperative complication of ventriculoperitoneal shunt and contralateral decompressive craniectomy. A 22-year-old male patient was admitted to our clinic with headache and a decline in the level of consciousness. We detected a left thalamic astrocytoma and hydrocephalus, which we treated via ventriculoperitoneal shunt surgery and ventricular drainage in emergency conditions. The patient experienced dysphasia on the first postoperative day and we found a right frontoparietal epidural hematoma. We evacuated the hematoma and exchanged the medium pressure valve for a high-pressure valve. The second patient was a 19-year-old male who had been assaulted. His pupils were fixed and dilated and had no reaction to painful stimulus. We detected bilateral frontotemporal skull fractures and right frontotemporoparietal subdural and epidural hematomas. We performed a right decompressive craniectomy and subdural/epidural hematoma evacuation followed by recovery under sedation in the intensive care unit. We performed cranial computed tomography six hours after surgery and found a left temporoparietal epidural hematoma. We performed a left temporoparietal craniotomy and epidural hematoma evacuation. The patient exhibited a higher level of consciousness and increased movement of his extremities. Epidural hematoma is a life-threatening complication encountered in neurosurgery practice. Neurosurgeons should be aware of the possibility of epidural hematoma following ventriculoperitoneal shunt or traumatic brain injury surgery.

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“…While shunt malfunction, infection, and displacement remain some of the more recognized complications [1][2][3], rare conditions such as CSF pseudocyst, CSF hydrothorax, or CSF ascites have also been ascribed to VP shunting [4][5][6][7][8]. Although a degree of sub-clinical CSF accumulation in the peritoneum is expected, the development Keywords Ventriculoperitoneal shunt · Ventriculoatrial shunt · Non-malignant CSF ascites · Atypical teratoid rhabdoid tumor Summary Background: The development of symptomatic ascites from a ventriculoperitoneal shunt is rare in children without prior intra-abdominal pathology.…”

Section: Introductionmentioning

confidence: 99%

Non-Malignant Cerebrospinal Fluid Ascites in a Patient with Atypical Teratoid Rhabdoid Tumor

2017

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Background: The development of symptomatic ascites from a ventriculoperitoneal shunt is rare in children without prior intra-abdominal pathology. Here we report a case of symptomatic ascites in a young child with a ventriculoperitoneal shunt and metastatic atypical teratoid rhabdoid tumor. Case Report: This 15-month-old boy developed symptomatic ascites while undergoing chemotherapy for his malignant brain tumor. Diagnostic work up to identify the etiology of this ascites yielded a non-malignant, sterile transudate, refractory to repeated paracentesis. The ascites finally resolved with the conversion of the ventriculoperitoneal shunt to a ventriculoatrial shunt. Conclusion: This case report highlights the need to be suspicious of non-malignant cerebrospinal fluid ascites as a cause of peritoneal fluid accumulation even in children with malignant primary brain tumor. In this setting, conversion of the shunt from peritoneal to atrial drainage can rapidly alleviate the morbidity associated with this condition.

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Cerebral ventricular shunts

Cited by 43 publications

References 64 publications

Determinants and Outcomes of Ventriculoperitoneal Shunt Infections in Enugu, Nigeria

Determinants and Outcomes of Ventriculoperitoneal Shunt Infections in Enugu, Nigeria

Epidural hematoma: postoperative complication

Non-Malignant Cerebrospinal Fluid Ascites in a Patient with Atypical Teratoid Rhabdoid Tumor

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