Pregnancy in patients with ventriculoperitoneal shunts: Report of two cases

Howard, Thomas E.; Herrick, C.Neil

doi:10.1016/0002-9378(81)90680-3

Cited by 18 publications

(11 citation statements)

References 2 publications

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“…The incidence of shunt malfunction during pregnancy varies widely in the literature from no signs of malfunction 6,[9][10][11][12][13] up to 59% of pregnancies with signs of elevated ICP. 14…”

Section: Risk Of Delivery In Shunt Dependent Womenmentioning

confidence: 99%

Progressive Functional Underdrainage in Cerebrospinal Fluid Shunt-Dependent Women During Pregnancy: Case Report and Review of the Literature

et al. 2018

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Section: Risk Of Delivery In Shunt Dependent Womenmentioning

confidence: 99%

Progressive Functional Underdrainage in Cerebrospinal Fluid Shunt-Dependent Women During Pregnancy: Case Report and Review of the Literature

et al. 2018

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“…In most studies, presenting symptoms were headache (most common), nausea and/or vomiting, depressed sensorium, seizure, memory disturbance, and vision problem. [7][8][9] Clinical presentation can be easily confused with preeclampsia. In rare cases with concomitant brain tumor, tumor-related signs and symptoms have also been observed.…”

Section: Discussionmentioning

confidence: 99%

A rare case report: successful outcome of a patient at near term pregnancy with maternal chronic obstructive hydrocephalus due to tubercular meningitis

Mahesh

Srivastava

2019

Int J Reprod Contracept Obstet Gynecol

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The incidence of tubercular meningitis leading to obstructive hydrocephalus is extremely rare accounting for 1% cases and is even rarer during pregnancy. A 20-year-old 2nd Gravida presented at 32 weeks gestation with complaints of intermittent headache, decreased vision since 3 months and irrelevant talks and agitated behavior since 1 day. On examination patient had stable vital signs but constant irritable behavior. Obstetric examination revealed a pregnancy corresponding to 32 weeks with a live fetus. Patient had a past history of Anti-tubercular therapy taken 2 years back for tubercular meningitis. Neurological examination revealed a GCS of 12/15 and Ophthalmologic examination revealed patient to be having only Perception of Light with optic atrophy on fundoscopy. NCCT head revealed moderate dilatation of bilateral ventricles and 3rd ventricle without any periventricular ooze suggestive of Chronic Obstructive Hydrocephalus. Supportive therapy was instituted with Dexamethasone and Mannitol infusion after Neurosurgical consultation along with antenatal care. Decision for termination of pregnancy was taken at 35 weeks by an elective caesarean section with simultaneous ventriculo-peritoneal shunt insertion by neurosurgical team under general anesthesia. A live male baby of 2.25 kg was delivered. Patient with baby was discharged on 10th post-operative day. Obstructive hydrocephalous developing post tubercular meningitis in pregnancy is a rare event. Caesarean section was done along with shunt surgery in our case. Very few cases have been reported in the medical literature so far.

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“…2 -5 ' 6 The CSF shunt is a foreign body originating in the central nervous system, and septicemia can be life-threatening in these patients. There are no data upon which to base a 24 recommendation at this time.…”

Section: Antibioticsmentioning

confidence: 99%

Cerebrospinal Fluid Shunts in Pregnancy

Samuels¹,

Driscoll²,

Landon³

et al. 1988

Amer J Perinatol

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With the introduction of silicone indwelling cerebrospinal fluid (CSF) shunts in the 1960s, the prognosis for children with hydrocephalus changed dramatically. These individuals are leading normal and productive lives today. Many women with CSF shunts are not entering the childbearing years. Previously, only 13 cases of pregnancy occurring in patients with CSF shunts have been reported. We present two cases here and review the complications and outcome of the other reported cases. Shunt malfunction appears to be common in pregnancy due to increased intraperitoneal pressure and the enlarging uterus. Rarely is surgical correction or premature delivery necessary. A successful pregnancy ending in the vaginal delivery of a term infant can be expected in the majority of these patients.

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Pregnancy in patients with ventriculoperitoneal shunts: Report of two cases

Cited by 18 publications

References 2 publications

Progressive Functional Underdrainage in Cerebrospinal Fluid Shunt-Dependent Women During Pregnancy: Case Report and Review of the Literature

Progressive Functional Underdrainage in Cerebrospinal Fluid Shunt-Dependent Women During Pregnancy: Case Report and Review of the Literature

A rare case report: successful outcome of a patient at near term pregnancy with maternal chronic obstructive hydrocephalus due to tubercular meningitis

Cerebrospinal Fluid Shunts in Pregnancy

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