Unusual complication of ventriculoperitoneal shunt

Ojo, Omotayo A; Elebute, Olumide A; Kanu, Okezie Obasi; Popoola, Olusegun Adebisi

doi:10.2478/romneu-2013-0020

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Hydrocephalus is a common neurological complication for many diseases (vascular, neoplastic and post-inflammatory) at pediatric age groups (1). The traditional classification of hydrocephalus is based on the site of occlusion of CSF flow into obstructive and communicating HCP [15]. For either type, at the beginning of life, increase head…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of ventriculoperitoneal shunt complications in pediatric age group in medina region: Observational study

Almazroea¹

2019

Clin Med Invest

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Background: Complications of VP shunt are presented elsewhere. Worldwide centers competitively published their incidence, type, and severity of VP shunt complication Purpose: The aim of this study is to review the rate, nature, and distribution of complications in pediatric patients with VP shunt. Study design: Retrospective analysis.Methods: This study was a retrospective analysis of children registry between 2011 and 2019. Hydrocephalus (HCP) was then divided into congenital, postmeningitis, post-intraventricular (IVH) and syndromic HCP. The patient's registry data were retrieved including demographics, symptomatology, investigations, complications, and finally necessity to revision surgery.Results: There was 65 (43.62%) patients developed shunt complications. All data described are for complication nest rather than the total population. In general, there were 42 males and 23 females in this study. The mean age at shunt insertion was 18.7±4.2 months, the mean and SD of age at emergence of complication was 27.6±2.1 months. The frequency of obstruction and infection was 25/65 (38.46%) and 8/65 (12.3%) respectively. Revision of ventricular end was done 14 times, revision of peritoneal end was done 10 times, and the entire shunt system revision was done 8 times while shunt removal and new shunt insertion were done 4 times. The mortality was found to be 12.3% (8 cases out of 65). Conclusions:The development of shunt complication is variable universally and depends on the etiology of hydrocephalus itself. Age and gender were found to offer no effects on the incidence, type, and severity of complication.

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Section: Discussionmentioning

confidence: 99%

“…The infection rate is proportionally related to the impact of diseasecausing HCP, sepsis, and acquired nosocomial infection [15,20]. These factors mandates decrease hospital stay, enhance patient's immunity and surgical wound care.…”

Section: Methodsmentioning

confidence: 99%

Epidemiology of ventriculoperitoneal shunt complications in pediatric age group in medina region: Observational study

Almazroea¹

2019

Clin Med Invest

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A Retrospective Study on Ventriculoperitoneal Shunt Complications in a Tertiary Care Centre

Kumar

Pandey

Bhakal

et al. 2020

Indian Journal of Neurosurgery

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Background Ventriculoperitoneal shunt (VPS) is a common technique employed to treat the second most common congenital brain malformation, “hydrocephalus.” Postshunt insertion, the consequent complications and factors contributing to shunt malfunction are much fought occurrences. The current study was planned to assess the effectiveness of the procedure, analyze the complications of VP shunt, and recognize the factors influencing shunt malfunction. Materials and Methods The present study was a retrospective observational study, which was conducted at the Department of Neurosurgery, PGIMER RML Hospital, New Delhi, from August 2016 to July 2018. Patients with hydrocephalus requiring shunt intervention were included in the study. A Chhabra “slit n spring” hydrocephalus shunt system was inserted in all patients. All patients with VP shunts were followed to assess for any postshunt complications. Results Out of 541 patients for whom VP shunt was inserted over a period of 2 years, 126 (23.3%) patients developed complications. The most common cause of hydrocephalus for which VP shunt was done was tubercular meningitis (39.3%, n = 63), followed by ventriculitis (12.38%, n = 20), congenital hydrocephalus (8.87%, n = 14) and aqueductal stenosis (5.54%, n = 03). The most common complication in our study was obstruction of proximal end of the catheter by debris, which was noted in 50 patients (39.68%). The second most common complication was poor peritoneal absorption or obstruction of lower end (21.43%, n = 27 cases). Abscess along the shunt was seen in 21 patients (16.67%). Complications were mostly documented in cases with hydrocephalus due to tubercular meningitis (TBM) (39.3%, 63 patients) and ventriculitis (12.38%, 20 patients). Other complications were hyperemia with superficial ulceration or complete exposure of skin overlying the tube (11.9%, n = 15), overdrainage of the ventricles leading to chronic subdural hematoma (n = 14, 11.11%), and infection around the distal catheter (4.76%, n = 6). Conclusion VPS procedure led to a complication in several patients, with the most common being obstruction of proximal catheter and poor peritoneal absorption or obstruction of lower end followed by abscess and infection.

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Unusual complication of ventriculoperitoneal shunt

Cited by 2 publications

References 6 publications

Epidemiology of ventriculoperitoneal shunt complications in pediatric age group in medina region: Observational study

Epidemiology of ventriculoperitoneal shunt complications in pediatric age group in medina region: Observational study

A Retrospective Study on Ventriculoperitoneal Shunt Complications in a Tertiary Care Centre

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