Late complications of ventriculoatrial or ventriculoperitoneal shunts

Vernet, Olivier; Rilliet, Bénédict

doi:10.1016/s0140-6736(01)06670-3

Cited by 55 publications

(44 citation statements)

References 7 publications

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“…79) Apathy and anxiety were frequently noted in 70% and 25% of patients, respectively, whereas delusion, emotional instability, depressive state, or impatience was observed in more than 10%. 63) On neurological examination, bradykinesia, hypokinesia, paratonic rigidity, glabellar reflex, snout reflex, and palmomental reflex were exhibited at a high frequency. 70,79) The association of akinesia and tremor at rest was observed as more prevalent in iNPH than in sNPH.…”

Section: -E Other Clinical Symptomsmentioning

confidence: 99%

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Guidelines for Management of Idiopathic Normal Pressure Hydrocephalus: Second Edition

Mori

Ishikawa

Kato

et al. 2012

Neurol. Med. Chir.(Tokyo)

551

723

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Among the various disorders manifesting dementia, gait disturbance, and urinary incontinence in the elderly population, idiopathic normal pressure hydrocephalus (iNPH) is becoming of great importance. After the publication of the first edition of the Guidelines for Management of Idiopathic Normal Pressure Hydrocephalus in 2004 (the English version was published in 2008), clinical awareness of iNPH has risen dramatically, and the number of shunt surgeries has increased rapidly across Japan. Clinical and basic research on iNPH has increased significantly, and more high-level evidence has since been generated. The second edition of the Japanese Guidelines was thus published in July 2011, to provide a series of timely evidence-based recommendations related to iNPH. The revision of the Guidelines has been undertaken by a multidisciplinary expert working group of the Japanese Society of Normal Pressure Hydrocephalus in conjunction with the Japanese Ministry of Health, Labour and Welfare research project on``Studies on the epidemiology, pathophysiology, and treatment of normal pressure hydrocephalus.'' This English version of the second edition of the Guidelines was made to share these ideas with the international community and to promote international research on iNPH.

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Section: -E Other Clinical Symptomsmentioning

confidence: 99%

“…63) From the perspective of having to treat a large number of elderly subjects, ventriculo-atrial shunt is not indicated in such patient groups with a high prevalence of cardiovascular disease.…”

Section: -A-i Ventriculo-peritoneal Shunt Ventriculoatrial Shuntmentioning

confidence: 99%

Guidelines for Management of Idiopathic Normal Pressure Hydrocephalus: Second Edition

Mori

Ishikawa

Kato

et al. 2012

Neurol. Med. Chir.(Tokyo)

551

723

View full text Add to dashboard Cite

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“…2,8,26,32,37,[47][48][49] At present, there are several publications addressing pediatric VPS failure and/or its associated complications. However, we note that the majority of such literature tends to focus on early complicationsusually where the VPS fails within 1 or 2 years postoperatively.…”

Section: Neurosurg Focus 41 (5):e7 2016mentioning

confidence: 99%

“…48 The widespread use of VPSs has made identification and management of their associated complications all the more pertinent. In general, VPS complications can be divided into early versus late failures.…”

Section: Delayed Vps Complications: An Overviewmentioning

confidence: 99%

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Late pediatric ventriculoperitoneal shunt failures: a Singapore tertiary institution's experience

Lee

Low

et al. 2016

FOC

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OBJECTIVE The introduction of ventriculoperitoneal shunts changed the way hydrocephalus was treated. Whereas much is known about the causes of shunt failure in the first few years, there is a paucity of data in the literature regarding the cause of late shunt failures. The authors conducted a study to find out the different causes of late shunt failures in their institution. METHODS A 10-year retrospective study of all the patients who were treated in the authors' hospital between 2006 and 2015 was conducted. Late shunt failures included those in patients who had to undergo shunt revision more than 5 years after their initial shunt insertion. The patient's notes and scans were reviewed to obtain the age and sex of the patient, the time it took for the shunt to fail, the reason for failure, and the patient's follow-up. RESULTS Forty-six patients in the authors' institution experienced 48 late shunt failures in the last 10 years. Their ages ranged from 7 to 26 years (12.23 ± 4.459 years [mean ± SD]). The time it took for the shunts to fail was between 6 and 24 years (mean 10.25 ± 3.77 years). Reasons for failure resulting in shunt revision include shunt fracture in 24 patients (50%), shunt blockage in 14 patients (29.2%), tract fibrosis in 6 patients (12.5%), shunt dislodgement in 2 patients (4.2%), and shunt erosion in 2 patients (4.2%). Postoperative follow-up for the patients ranged from 6 to 138 months (mean 45.15 ± 33.26 months). CONCLUSIONS Late shunt failure is caused by the effects of aging on the shunt, and the complications are different from early shunt failure. A large proportion are complications associated with shunt calcification. The authors advocate a long follow-up for pediatric patients with shunts in situ to monitor them for various causes of late shunt failure.

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Normal pressure hydrocephalus

Curiale

Chappelle

2022

Pathy's Principles and Practice of Geriatric Medicine

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Late complications of ventriculoatrial or ventriculoperitoneal shunts

Cited by 55 publications

References 7 publications

Guidelines for Management of Idiopathic Normal Pressure Hydrocephalus: Second Edition

Guidelines for Management of Idiopathic Normal Pressure Hydrocephalus: Second Edition

Late pediatric ventriculoperitoneal shunt failures: a Singapore tertiary institution's experience

Normal pressure hydrocephalus

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