2016
DOI: 10.1136/bcr-2015-213619
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Shunt malfunction in patients with hydrocephalus: complications revisited

Abstract: DESCRIPTIONThe ventriculoperitoneal shunt has been the mainstay for definitive treatment of hydrocephalus since time immemorial. As such, several case reports describing the complications of this procedure have been documented in the literature over the past few decades. The spectrum ranges from ventricular catheter dislodgement to abdominal catheter end perforating the stomach and causing intussusception; several case illustrations have depicted the possible aftermath of this blind procedure. After the advent… Show more

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Cited by 5 publications
(4 citation statements)
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“…Despite using a highly effective shunt system and keeping patients under strict observation, there is always a possibility for shunt failure because of either shunt malfunction, infection, abdominal manifestations, or overdrainage, which can result in increased morbidity and mortality of the patients [8,17,18]. Therefore, the patients that undergo VP shunt surgery must be assessed for any postoperative complications at regular intervals.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Despite using a highly effective shunt system and keeping patients under strict observation, there is always a possibility for shunt failure because of either shunt malfunction, infection, abdominal manifestations, or overdrainage, which can result in increased morbidity and mortality of the patients [8,17,18]. Therefore, the patients that undergo VP shunt surgery must be assessed for any postoperative complications at regular intervals.…”
Section: Discussionmentioning
confidence: 99%
“…In the first year after shunt installation, however, the incidence of VP shunt failure has been reported to be 11%-25% [7]. Shunt failure is a sequel of multiple complications, which include obstruction (either complete or partial), shunt infection (most common being Staphylococcus epidermidis, which is a part of skin flora), overdrainage leading to subdural hematoma (SDH), underdrainage, shunt migration, peritoneal pseudocysts, bowel perforation, and hernias [1,[6][7][8]. Shunt malfunction remains the most frequent reason for shunt revision and replacement often requiring frequent and long hospital stays.…”
Section: Introductionmentioning
confidence: 99%
“…It is well known that a high number of surgical revisions or pressure changes follows the implantation of a CSF-shunt [21][22][23]. But most of these studies only focused on causes like infections, dislocation or rupture of the shunt-catheter [24,25].…”
Section: Discussionmentioning
confidence: 99%
“…2 Shunt migration remains a common complication. 3 However, distal tip migration into the thoracic cavity due to negative intrathoracic pressure is a rare occurrence. 4…”
Section: Introductionmentioning
confidence: 99%