Management of Hydrocephalus with Ventriculoperitoneal Shunts: Review of 109 Cases of Children

Dakurah, Thomas; Adams, Fuseini; Iddrissu, M; Wepeba, G; Akoto, Harry; Bankah, Patrick; Ametefe, Mawuli; Kasu, Philip W.

doi:10.1016/j.wneu.2016.06.111

Cited by 17 publications

(20 citation statements)

References 40 publications

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“…VP shunt plays an important role in managing hydrocephalus and has good efficiency on treatment options, but has the potential serious postoperative complications [1, 2]. Improper management might lead to shunt failure.…”

Section: Discussionmentioning

confidence: 99%

“…Improper management might lead to shunt failure. According to the literature reported, the rate of complications of VP shunt was up to 30% [2, 3]. Common VP shunt complications included infections, obstruction and overdrainage [5].…”

Section: Discussionmentioning

confidence: 99%

“…However, the incidence of complications of VP shunt was up to 30% [2, 3]. Abdominal complications occurred in ~15–25% of VP shunts, such as peritonitis, hernia, abscess, perforated colon, perforated bladder and abdominal pseudocyst [4].…”

Section: Introductionmentioning

confidence: 99%

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Sub-capsular effusion of liver as a rare complication of ventriculoperitoneal shunt in a child

Zhang

Liu

Wang

et al. 2017

Journal of Surgical Case Reports

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The most common procedure to deal with hydrocephalus is ventriculoperitoneal (VP) shunt. The purpose of the shunt is to drain cerebrospinal fluid from cerebral ventricles to abdominal cavity. Many complications of VP shunts have been reported such as infection, obstruction, overdrainage. Abdominal complications occur in ~15–25% of VP shunts in pediatric patients, such as peritonitis, hernia, abscess, perforated colon, perforated bladder and abdominal pseudocyst. However, sub-capsular effusion of liver is a rare complication of VP shunt. In this case report, We described an unusual case of VP shunt complication in a 2-year-old child who presented with intermittent fever and abdominal pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sub-capsular effusion of liver as a rare complication of ventriculoperitoneal shunt in a child

Zhang

Liu

Wang

et al. 2017

Journal of Surgical Case Reports

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“…A constellation of complications pertaining to the distal end of the VPS has been reported, including shunt infection (Kanev and Sheehan, ), with (Knuth et al, ) or without (Nakahara et al, ) retrograde meningitis; shunt obstruction (Browd et al, ); distal catheter migration (Abode‐Iyamah et al, ); re‐coiling (Cho et al, ); segmental breakage or disconnection (Riccardello et al, ); ascites (DiLuna et al, ); CSF pseudocyst formation (Tamura et al, ); pleural effusion (Ergün et al, ); intra‐abdominal seeding of infection (Laucks et al, ); allergy (AbdelAziz et al, ); conveyance of the malignant metastatic cells of an intra‐cranial tumor to the abdominal cavity (Donovan and Prauner, ); and even death (Ghritlaharey et al, ). Among these, distal catheter migration is considered a common complication entailing both clinical and anatomical concerns (Popa et al, ; Ghritlaharey et al, ; Dakurah et al, ).…”

Section: Introductionmentioning

confidence: 99%

Migration of the distal catheter of the ventriculoperitoneal shunt in hydrocephalus

et al. 2017

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There have been many reports on migration of the distal catheter of the ventriculoperitoneal shunt (VPS) since this phenomenon was recognized 50 years ago. However, there have been no attempts to analyze its different patterns or to assess these patterns in terms of potential risk to patients. We comprehensively reviewed all reports of distal VPS catheter migration indexed in PubMed and identified three different anatomical patterns of migration based on catheter extension and organs involved: (1) internal, when the catheter invades any viscus inside the thoracic, abdominal, or pelvic cavity; (2) external, when the catheter penetrates through the body wall either incompletely (subcutaneously) or completely (outside the body); and (3) compound, when the catheter penetrates a hollow viscus and protrudes through a pre-existing anatomical orifice. We also analyzed the association between each migration type and several key factors. External migration occurred mostly in infants. In contrast, internal migration occurred mostly in adults. A body wall weakness was not a risk factor for catheter protrusion. Shunt duration was a critical factor in the migration pattern, as most newly-replaced shunts tended to migrate externally. Clinicians must pay close attention to cases of large bowel perforation, since they were most often associated with intracranial infections. The organ involved in compound migration could determine the route of extrusion, as the bowel was involved in all trans-anal migrations and the stomach in most trans-oral cases. Clin. Anat. 30:821-830, 2017. © 2017Wiley Periodicals, Inc.

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“…al., 2016;Simon et.al., 2008;Del Bigio, 2010). No entanto, é sabido que esses métodos nem sempre são efetivos o suficiente para conter todos os danos neurológicos, além de outras condições que influenciam a manutenção do tratamento, gerando alto custo para o sistema público de saúde (McAllister & Chovan, 1998;Dakurah et. al., 2016).…”

Section: Introductionunclassified

O sistema renina-angiotensina como potencial alvo terapêutico na hidrocefalia experimental. Estudo comportamental, histológico e imunoistoquímico

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Management of Hydrocephalus with Ventriculoperitoneal Shunts: Review of 109 Cases of Children

Cited by 17 publications

References 40 publications

Sub-capsular effusion of liver as a rare complication of ventriculoperitoneal shunt in a child

Sub-capsular effusion of liver as a rare complication of ventriculoperitoneal shunt in a child

Migration of the distal catheter of the ventriculoperitoneal shunt in hydrocephalus

O sistema renina-angiotensina como potencial alvo terapêutico na hidrocefalia experimental. Estudo comportamental, histológico e imunoistoquímico

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