Sémiologie d’un dysfonctionnement de dérivation ventriculo-péritonéale chez l’enfant – mise au point

Neiter, E.; Guarneri, Claudio; Pretat, P.-H.; Joud, A.; Marchal, J.-C.; Klein, Olivier

doi:10.1016/j.neuchi.2015.10.005

Cited by 7 publications

(12 citation statements)

References 79 publications

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“…The mechanic complications are: proximal/distal obstructions, disconnections, catheter migrations, low/over-drainage, subdural hematoma, valve/catheter extrusion, pseudocyst, intestinal perforation, CSF ascites (Cerebro-Spinal Fluid), shunts fractures. They represent the first cause of shunt malfunction in children, 60% [8]. Mechanical complications were the majority in our study 57.77%, corroborating the Literature.…”

Section: Discussionsupporting

confidence: 90%

“…Epidemiological parameters (age, sex, provenance, aetiology) did not generally have an impact on the occurrence of complications of ventriculoperitoneal shunting during the study period, but their preponderance according to the items seems more related to the initial causal hydrocephalus. According to Drake JM, relayed by Neiter E et al (2015), will make complications: 50% of children shunted before their first 2 years and 30% for those shunted after 2 years [8]. Paff M et al (USA, 2018), after metaanalysis of complication data in children suggested 3 most risk factors for hydrocephalus complications: an early postshunting complication; congenital hydrocephalus, especially obstructive; male gender and low socio-economic status [9].…”

Section: Discussionmentioning

confidence: 99%

“…These complications are generally of two kinds: mechanical and infectious [2,4,[8][9][10]. The mechanic complications are: proximal/distal obstructions, disconnections, catheter migrations, low/over-drainage, subdural hematoma, valve/catheter extrusion, pseudocyst, intestinal perforation, CSF ascites (Cerebro-Spinal Fluid), shunts fractures.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit

J¹,

Broalet²,

Tetchi³

et al. 2021

IJN

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Complications of ventriculoperitoneal shunting in hydrocephalus cure are countless and well known nowadays; depending on several factors. They are all more so screened in children whom are vulnerable and growing; more again in sub-Saharan area, suggesting a close follow-up and a paid attention on family balance. We emphasised on this surgical and social challenge to analyse the experience of a paediatric neurosurgical unit. A retrospective study has been performed to determine statistical data over 13 years of our practice in sub-Saharan hospital area, referring to international recommendations. It was of above 90 complications collected in 62 patients over 302 children operated, 20.52%. Complications were mechanic (58) and infectious (32). The mean age of appearance was 2 years 8 months, with an average of 6 months of follow-up. Malformative aetiologies were of 4 over 5 children, 80.65% and more than half were non-obstructive, 58%. The complications were unique, multiple or associated. The treatment was mainly surgical 88.7% on several modes. Sixteen children deceased during the study period. Post-shunting complications are the source of a compromised functional or even vital prognosis, sometimes in a psychosocial stress or low feel. The challenge in sub-Saharan area remains the efficient management of complications with limited resources or a sociocultural family uncertainty. Perioperative prevention must be the master words.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit

J¹,

Broalet²,

Tetchi³

et al. 2021

IJN

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“…Insertion of VPS in not without complications which are well described in the literature. [ 34 35 36 ] By doing aspiration along with cranioplasty, we could avoid a VPS in 10 out of 11 patients.…”

Section: Discussionmentioning

confidence: 99%

The Conundrum of Ventricular Dilatations Following Decompressive Craniectomy: Is Ventriculoperitoneal Shunt, The Only Panacea?

Kutty

Sreemathyamma

Sivanandapanicker

et al. 2018

Journal of Neurosciences in Rural Practice

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Introduction:Ventriculomegaly and hydrocephalus (HCP) are sometimes a bewildering sequela of decompressive craniectomy (DC). The distinguishing criteria between both are less well defined. Majority of the studies quoted in the literature have defined HCP radiologically, rather than considering the clinical status of the patient. Accordingly, these patients have been treated with permanent cerebrospinal fluid (CSF) diversion procedures. We hypothesize that asymptomatic ventriculomegaly following DC should undergo aspiration with cranioplasty and be followed up regularly.Materials and Methods:All patients with post-DC who were scheduled for cranioplasty and satisfied the radiological criteria for HCP were included. These patients were categorized into two groups. Group 1 included ventriculomegaly with clinical signs attributable to HCP and Group 2 constituted ventriculomegaly but no clinical signs attributable to HCP. All patients in Group 1 underwent ventriculoperitoneal shunt followed by cranioplasty, whereas all patients in Group 2 underwent cranioplasty along with simultaneous ventriculostomy and temporary aspiration of the lateral ventricle. All patients were regularly followed as the outpatient basis.Results:There were 21 patients who developed ventriculomegaly following DC. There were 10 patients in Group 1 and 11 patients in Group 2. The average duration of follow-up was from 6 months to 2 years. Two patients in the shunt group - (group 1) had over drainage and required revision. One patient in aspiration group - (group 2) required permanent CSF diversion.Conclusions:Cranioplasty with aspiration is a viable option in selected group of patients in whom there is ventriculomegaly but no signs or symptoms attributable to HCP.

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“…The literature is abundant in comparative studies for the effectiveness of the most used devices (such as the Cordis Orbis Sigma and Medtronic PS Medical Delta valves) [5]. Surprisingly, no relevant differences were found in the failure rates of these and other less complex systems [6,7,8].…”

Section: Introductionmentioning

confidence: 99%

Mechanical complications of shunt for hydrocephalus

Melo

2020

APN

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Introduction: Hydrocephalus is the pathology most frequently addressed and studied in pediatric neurosurgery. Over 15,000 new cases are diagnosed each year. Although it is the most common procedure performed by pediatric neurosurgeons, the shunt implant for drainage of cerebrospinal fluid (CSF) also presents the highest rate of failure and replenishment. The last 50 years have been marked by important advances in quality of these implants. However , little has changed regarding the prevalence of these failures. We will comment here the main mechanical failures of the shunt: disconnection, migration, fracture and scraping of the catheter, hollow visceral perforation and distal catheter knot. Methods: Literature review about the main causes of mechanical failure in shunts Conclusion: Shunt dysfunction is still very common, despite technological advances in the treatment of hydrocephalus. Mechanical causes of shunt dysfunction correspond to about 30% of the reasons for changing or overhauling valves. Most of these occur due to surgical problems. Therefore, safe measures reduces these events their clinical features.

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Sémiologie d’un dysfonctionnement de dérivation ventriculo-péritonéale chez l’enfant – mise au point

Cited by 7 publications

References 79 publications

Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit

Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit

The Conundrum of Ventricular Dilatations Following Decompressive Craniectomy: Is Ventriculoperitoneal Shunt, The Only Panacea?

Mechanical complications of shunt for hydrocephalus

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