Complications in Ventricular Cerebrospinal Fluid Shunting

Blount, Jeffrey P.; Campbell, John; Haines, Stephen J.

doi:10.1016/s1042-3680(18)30556-4

Cited by 159 publications

(83 citation statements)

References 135 publications

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“…The use of the peritoneal cavity for CSF absorption in ventriculoperitoneal shunting was first introduced in 1908 by Kausch 4 Peritoneal CSF pseudocyst formation is an unusual complication with reported incidence of less than 1.0-4.5%. 2,5 An abdominal CSF pseudocyst was first described by Harsh in 1954.…”

Section: Discussionmentioning

confidence: 99%

Largest Abdominal CSF Pseudocyst – An Uncommon Complication of VP Shunt

2013

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Abdominal cerebrospinal fluid (CSF) pseudocyst is an unusual and important complication in patients with ventriculoperitoneal (VP) shunt. A 36yrs old male referred to the Department of Radiology for USG abdomen with complaints of gradually increasing distension of abdomen and provisional diagnosis of Alcoholic liver disease. Successive radiological investigations lead to diagnosis of malfunctioning VP shunt, secondary to abdominal CSF pseudocyst formation. Due to lack of suspiciousness patient had developed a giant abdominal CSF pseudocyst, size of which has not been reported in any literature so far. Hence, initial suspicion with appropriate investigation and early treatment can prevent morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Largest Abdominal CSF Pseudocyst – An Uncommon Complication of VP Shunt

2013

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“…Ventriculoperitoneal shunt (VPS) is a common neurosurgical procedure and considered the most commonly accepted treatment for hydrocephalus (2,7,14,17,29,30,31,32), however it can be considered one of the most common neurosurgical procedures associated with complications (3,10). Those complications include mechanical failure, infection, and disconnection or fractured segment with or without migration of the shunt tube (3,10,14,29,32).…”

Section: Introductionmentioning

confidence: 99%

“…Those complications include mechanical failure, infection, and disconnection or fractured segment with or without migration of the shunt tube (3,10,14,29,32).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic revision of the distally obstructed ventriculoperitoneal shunt

Abouhashem

Taha²,

Ismail³

et al. 2012

Turkish Neurosurgery

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AIm: Evaluation of the laparoscopic assisted revision of the ventriculoperitoneal shunt as an alternative technique to the traditional laparotomy. mAterIAl and methOds: Out of 1181 elective neurosurgical procedures have been done from January 2009 to December 2010. There are 98 (8.2%) ventriculoperitoneal shunt procedures. New shunt insertion was performed 41 times (41.9%) and shunt revision performed 57 times (58.1%). Shunt-related infection was detected in 11 cases (11.22%) while mechanical failure was found in 46 cases (46.9%), proximal obstruction was diagnosed in 26 cases (26.5 %) while 20 patients (20.4%) suffered from distal obstruction. Out of the 20 patients with distal obstruction, 12 patients were treated with laparoscopic assisted revision of the peritoneal end.results: Intra operative finding revealed peritoneal adhesion in 83.3% of cases and cerebrospinal fluid pseudo cyst in 16.6% while extra peritoneal tube was found in one case. Intraoperative management included adhesiolysis in 10 patient, evacuation and marsupialization of the cyst in two cases in addition to tube repositioning in all cases. There was no procedure-related complications.COnClusIOn: Laparoscopic assisted revision of the peritoneal catheter is an alternative technique to traditional laparotomy in the revision of ventriculoperitoneal shunt.

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“…Mechanical malfunction of inserted shunt system is the most common complication of ventriculo-peritoneal shunts (Little, 1972;Blount, 1993). Malfunction may be the result of either mechanical obstruction of the lumen or disconnection of the shunt components.…”

Section: Introductionmentioning

confidence: 99%

“…The occlusion is multifactorial in origin. Choroid plexus, brain debris, fibrin, clotted blood, and/ or developing granulation tissues can totally or partially block the ventricular catheter (Blount, 1993;Sainte-Rose, 1993;Kast, 1994;Takahashi, 1998).…”

Section: Introductionmentioning

confidence: 99%

On-Off Malfunctıon In A Pedıatrıc Shunt: A Case Report

ÇOKLUK¹,

AYDIN²,

KOCABIÇAK³

2009

jecm

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Three-years-old-boy with a history of ventriculo-peritoneal shunt placement was admitted to our neurosurgery department with headache, vomiting and sunset eye phenomena. Direct X-ray examination of the shunt system was completely normal. The palpation of the shunt dome resulted the unfilling of pumping device. Computerised Tomography (CT) of the head revealed ventricular enlargement and periventricular oedema. The patient was hospitalised for shunt revision. The symptoms were spontaneously disappeared within 48 hours. The pumping device returned to normal refilling. Follow up CT showed small ventricular size and shape. This case indicates that the symptomatic intermittent occlusion of the proximal shunt catheter can be seen in the paediatric age group and the obstruction may continue for a certain period and spontaneously return to normal function with correlated clinical response.

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Complications in Ventricular Cerebrospinal Fluid Shunting

Cited by 159 publications

References 135 publications

Largest Abdominal CSF Pseudocyst – An Uncommon Complication of VP Shunt

Largest Abdominal CSF Pseudocyst – An Uncommon Complication of VP Shunt

Laparoscopic revision of the distally obstructed ventriculoperitoneal shunt

On-Off Malfunctıon In A Pedıatrıc Shunt: A Case Report

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