Failure of Cerebrospinal Fluid Shunts: Part I: Obstruction and Mechanical Failure

Browd, Samuel R.; Ragel, Brian T.; Gottfried, Oren N.; Kestle, John R. W.

doi:10.1016/j.pediatrneurol.2005.05.020

Cited by 258 publications

(184 citation statements)

References 22 publications

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“…The distal catheter is a long thin silicone tube that is placed subcutaneously and terminates in a distal body cavity where the CSF can be reabsorbed into the body (Garton & Piatt 2004, Browd et al 2006ade Aquino et al 2006). The most common site of distal CSF drainage is the peritoneal cavity.…”

Section: Hydrocephalus and Cns Shunt Systemmentioning

confidence: 99%

See 1 more Smart Citation

Biomaterials for the central nervous system

Zhong

Bellamkonda

2008

J. R. Soc. Interface.

215

163

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Biomaterials are widely used to help treat neurological disorders and/or improve functional recovery in the central nervous system (CNS). This article reviews the application of biomaterials in (i) shunting systems for hydrocephalus, (ii) cortical neural prosthetics, (iii) drug delivery in the CNS, (iv) hydrogel scaffolds for CNS repair, and (v) neural stem cell encapsulation for neurotrauma. The biological and material requirements for the biomaterials in these applications are discussed. The difficulties that the biomaterials might face in each application and the possible solutions are also reviewed in this article.

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Section: Hydrocephalus and Cns Shunt Systemmentioning

confidence: 99%

“…The two most common locations for the shunt obstruction are the ventricular catheter tip and the shunt valve (Browd et al 2006a). The proximal catheter is multi-perforated in order to enable the CSF to pass through; these drain holes allow for tissue ingrowth into the lumen of catheters.…”

Section: Biological Responses To Silicone Shuntsmentioning

confidence: 99%

Biomaterials for the central nervous system

Zhong

Bellamkonda

2008

J. R. Soc. Interface.

215

163

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“…Ever since its introduction, the usage of cerebrospinal fluid shunt hardware has led to complications, so much so that in the early period it was abandond [12][13][14][15][16][17]19] with the development of more user-friendly hardware system. Nowadays shunt systems regained their place in favor, nevertheless, complications, though fewer, persist.…”

Section: Discussionmentioning

confidence: 99%

“…Thecoperitoneal shunt is a technique of CSF diversion from the lumber peritoneal sac to the peritoneal cavity, although generally a safe procedure, potential complications might happen such: bleeding, nerve irritation, paralysis, infection, post spinal headache, pneumocephalus, acquired Chiari malformation, shunt migration [11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Thecoperitoneal Shunt ‘Cast Away’

Rami¹

2016

JNSK

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Mechanical shunt complication accounts for more than half of all shunt failures. Ever since its introduction, the use of cerebrospinal shunting systems has led to complications. Nevertheless, complication, though fewer nowadays, persist. Such complications: mechanical failure, infections and migration. We are reporting a very rare case of thecoperitoneal shunt migration not only towards peritoneal cavity also towards third ventricle.

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“…Imaging studies are often used to assess the integrity of the shunt system, assess change in ventricular size, and identify any shunt-related complications. 2 CT is often the preferred technique because of its wide availability, ease of use, and brief imaging time. However, the foremost concern with increasing use of repeated CT studies in such patients is the associated dose of ionizing radiation and consequent potential risk of developing cancer later in life.…”

mentioning

confidence: 99%