Cerebrospinal Fluid Shunt Complications

Rad, Mohammad Faraji; Vahedi, Payman; Shoeibi, Ali

doi:10.1097/00013414-200503000-00001

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…According to the present study and previous studies, the most common shunt complication is shunt obstruction [5,6,7]. Korean studies have documented shunt obstruction to occur in 12.2–41.1% [8,9] of the cases.…”

Section: Discussionsupporting

confidence: 77%

“…Shunt migration is more common in children under 12 years of age [5,6]. In the current study, 23 out of 25 cases of shunt migration were recorded in patients less than 5 years old.…”

Section: Discussionmentioning

confidence: 61%

“…The current study has reported the highest occurrence of shunt obstruction (53.8% of the cases). The openings of the ventricular catheter may become plugged with brain or choroid plexus tissue, while the peritoneal end may become surrounded by loops of bowel, other structures or scar tissue [5,6,7,10]. …”

Section: Discussionmentioning

confidence: 99%

“…Mechanical causes of shunt failure include shunt migration, fracture or disconnection [5,6,7]. Shunt migration is more common in children under 12 years of age [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…Ventriculoperitoneal shunts have been used for many decades and still remain the mainstay of treatment in hydrocephalic patients. These shunts are associated with several complications [4,5,6,7], which have scarcely been reported in sub-Saharan Africa. This study aimed at determining the frequency of these complications and their associated risk factors in a Kenyan National Teaching and Referral Hospital.…”

Section: Introductionmentioning

confidence: 99%

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Ventriculoperitoneal Shunt Complications: A Three-Year Retrospective Study in a Kenyan National Teaching and Referral Hospital

Mwachaka

Obonyo²,

Mutiso³

et al. 2010

Pediatr Neurosurg

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Background/Aims: Ventriculoperitoneal shunt complications have scarcely been reported in sub-Saharan Africa. This study aimed at determining the frequency of these complications and their associated risk factors in a Kenyan National Teaching and Referral Hospital. Methods: This cross-sectional study retrospectively covered 117 patients admitted to the Kenyatta National Hospital neurosurgical ward between January 2005 and December 2007 with ventriculoperitoneal shunt complications. The data obtained were analysed using the Statistical Package for the Social Sciences. Results: The most common complication was obstruction in 63 patients (53.8%), followed by migration in 25 (21.4%) and infection in 23 (19.7%) of the patients. Up to 49.6% of the complications occurred in patients younger than 6 months. Multiple complications were seen in 23.9% of the cases. The mean shunt duration was 18.05 months. Positive correlations existed between the presence of a shunt complication and patient age, shunt duration and the number of complications developed. These correlations were, however, neither strong nor statistically significant. Conclusion: This study reports the highest frequencies of shunt obstruction and migration ever recorded in the literature. The high rate of development of multiple shunt failures coupled with a short shunt duration calls for a closer monitoring of patients with ventriculoperitoneal shunts.

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Section: Discussionsupporting

confidence: 77%

“…Shunt migration is more common in children under 12 years of age [5,6]. In the current study, 23 out of 25 cases of shunt migration were recorded in patients less than 5 years old.…”

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

“…Mechanical causes of shunt failure include shunt migration, fracture or disconnection [5,6,7]. Shunt migration is more common in children under 12 years of age [5,6].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ventriculoperitoneal Shunt Complications: A Three-Year Retrospective Study in a Kenyan National Teaching and Referral Hospital

Mwachaka

Obonyo²,

Mutiso³

et al. 2010

Pediatr Neurosurg

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Can using a peel-away sheath in shunt implantation prevent ventricular catheter obstruction?

et al. 2010

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A Review of Hydrocephalus

Shakeri

Vahedi

Lotfinia

2008

Neurosurgery Quarterly

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Hydrocephalus is a known disease from ancient times. Despite ongoing attempts to achieve optimal management of the disorder, there are still challenges for cerebrospinal fluid shunting procedures. The etiologies, diagnostic studies, surgical treatment, and a historical review of hydrocephalus are presented. ANATOMY AND PHYSIOLOGYUnder normal circumstances, ultrafiltration through capillary endothelial walls of choroids plexus produces CSF. Na/K ATPase, on the apical membrane of choroids plexus epithelium plays the decisive role in CSF secretion. 9-11 Much of the secreted fluid is reabsorbed

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Cerebrospinal Fluid Shunt Complications

Cited by 4 publications

References 6 publications

Ventriculoperitoneal Shunt Complications: A Three-Year Retrospective Study in a Kenyan National Teaching and Referral Hospital

Ventriculoperitoneal Shunt Complications: A Three-Year Retrospective Study in a Kenyan National Teaching and Referral Hospital

Can using a peel-away sheath in shunt implantation prevent ventricular catheter obstruction?

A Review of Hydrocephalus

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