Replacing Computed Tomography with “Rapid” Magnetic Resonance Imaging for Ventricular Shunt Imaging

Marín, Jennifer R.; Tyler-Kabara, Elizabeth C.; Anderson, Casey; Butler, Gabriella; Charles, Shaquille; Furtado, Andre D.; Rosen, Johanna

doi:10.1097/pq9.0000000000000441

Cited by 6 publications

(2 citation statements)

References 27 publications

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“…Additionally, rapid MRI is increasingly available 23 though associated with a longer time to imaging (53 min) and a longer emergency department length of stay (52 min). 24 Machine learning also shows potential to combine clinical, radiologic, surgical, and shunt-design factors to improve detection of shunt malfunction. 25 Continuing to evolve objective tools is essential, but we also must help "first responder" caregivers prepare for their essential role in bringing children to medical attention for neuroimaging and for detailed medical exams.…”

Section: Discussionmentioning

confidence: 99%

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Symptoms of Cerebrospinal Shunt Malfunction in Young Children: A National Caregiver Survey

Dorner

Lemmon

Vazifedan

et al. 2023

Child Neurology Open

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Objective: This study aimed to describe shunt malfunction symptoms in children ≤5 years old. Results: In a national survey of 228 caregivers, vomiting (23.1%), irritability (20.8%), and sleepiness (17.2%) were the most frequent symptoms of malfunction. These symptoms also occurred in over 1/3 of “false alarms” experienced by 75% of respondents. Compared with malfunctions, irritability (OR = 1.39, 95% CI [1.05, 1.85], p = 0.022) and fever (OR = 2.22, 95% CI [1.44, 3.44], p < 0.001) were more likely false alarms. Caregivers counseled about “most” symptoms were more confident detecting malfunctions than those informed of “some” (p = 0.036). The majority of caregivers (85%) first contacted a neurosurgeon with concerns about malfunction, followed by neurologists (22%) and family/friends (19%). Most (85%) struggled to differentiate malfunction from regular development. Conclusions: Vomiting, irritability, and sleepiness were the most common symptoms of shunt malfunction and false alarms for children ≤5 years. Most caregivers reported challenges differentiating malfunctions from their child's development.

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Section: Discussionmentioning

confidence: 99%