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Keywords VP shunt complications in hydr...

VP shunt complications in hydrocephalus

https://read.qxmd.com/read/37542448/ventriculoatrial-and-ventriculoperitoneal-shunt-malfunction-and-infection-in-infants-with-necrotizing-enterocolitis
#21
JOURNAL ARTICLE
Katherine G Holste, Jack Vernamonti, Momodou G Bah, Karin M Muraszko, Samir K Gadepalli, Cormac O Maher, Hugh J L Garton
OBJECTIVE: Necrotizing enterocolitis (NEC) and posthemorrhagic hydrocephalus are both conditions that can affect preterm infants. The peritoneum is the preferred terminus for shunt placement, but another terminus is sometimes used due to subjective concerns about infection and complications related to NEC. The aim of this study was to examine the rates of ventriculoatrial (VA) and ventriculoperitoneal (VP) shunt infection and failure in pediatric patients with a history of NEC. METHODS: A single-center retrospective review of medical records from 2009 to 2021 was performed to identify pediatric patients with NEC who underwent shunt placement before 2 years of age...
November 1, 2023: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/37526749/noninvasive-csf-shunt-patency-evaluation-by-superb-microvascular-imaging
#22
JOURNAL ARTICLE
D Putzer, K Brawanski, M Verius, H Oberherber, C Thome, E R Gizewski, H Gruber
Occlusion of a ventriculoperitoneal shunt system is a potentially life-threatening complication in patients suffering from hydrocephalus. However, there is no imaging established as standard approach in this acute setting. In the present study, we evaluate the use of superb microvascular imaging for investigation of the patency of ventriculoperitoneal shunt systems. Simulation of low flow rates of cerebrospinal fluid through a small diameter CSF shunt system was performed in a dedicated phantom in order to proof the principle of superb microvascular imaging (SMI) being feasible for the measurement of slow CSF flow through the dedicated CSF shunt system...
August 1, 2023: Neurosurgical Review
https://read.qxmd.com/read/37506741/neuroendoscopic-lavage-and-third-ventriculostomy-for-the-treatment-of-intraventricular-hemorrhage-and-hydrocephalus-in-neonates-a-prospective-study-with-18-months-of-follow-up
#23
JOURNAL ARTICLE
Mario Islas Aguilar, Jaime Gerardo Torrez-Corzo, Juan Carlos Chalita-Williams, Dominic Shelby Cervantes, Juan Vinas-Rios
BACKGROUND:  Neonatal intraventricular hemorrhage (IVH) may evolve into posthemorrhagic hydrocephalus and cause neurodevelopmental impairment, becoming a common complication of premature infants, occurring in up to 40% of preterm infants weighing less than 1,500 g at birth. Around 10 to 15% of preterm infants develop severe (grades III-IV) IVH. These infants are at high risk of developing posthemorrhagic hydrocephalus. Neuroendoscopic lavage (NEL) is a suitable alternative for the management of this pathology...
July 28, 2023: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://read.qxmd.com/read/37465815/small-bowel-obstruction-and-enterococcus-meningitis-rare-complications-of-ventriculoperitoneal-shunt-placement
#24
Vincent B Gonzalez, Lisa M Pace, Matthew Johnson, Darren Klawinski
A ventriculoperitoneal (VP) shunt is a commonly used mechanical device indicated for congenital and acquired hydrocephalus in children. Although VP shunt failure is not uncommon, the symptomatology and cause of failure can vary. In this case, we describe intestinal obstruction in a three-year-old Caucasian female with a history of Pilomyxoid Astrocytoma and VP shunt placement for the management of hydrocephalus. Surgical exploration revealed ischemia of the terminal ileum secondary to VP shunt tubing-induced adhesions requiring bowel resection...
June 2023: Curēus
https://read.qxmd.com/read/37397057/cerebrospinal-fluid-leakage-from-scrotum-secondary-to-ventriculoperitoneal-shunt-migration
#25
Gregory Topp, Pouya Entezami, Shashikanth Ambati, Benjamin Szewczyk, Matthew A Adamo
Ventriculoperitoneal (VP) shunts are a common neurosurgical procedure used to treat hydrocephalus. Despite their efficacy, many shunts fail and require revisions. The most common causes of shunt failure include obstruction, infection, migration, and perforation. Extraperitoneal migrations require urgent attention. We present a case of migration to the scrotum, a unique complication that may be present in young patients due to the presence of a patent processus vaginalis. Here, we discuss a case of a 16-month-old male patient with a VP shunt presenting with cerebrospinal fluid (CSF) drainage from his scrotum after an indirect hernia repair...
June 2023: Asian Journal of Neurosurgery
https://read.qxmd.com/read/37392224/tension-pneumocephalus-in-a-patient-with-nf1-following-ventriculoperitoneal-shunt-deciphering-the-cause-and-proposed-management-strategy
#26
JOURNAL ARTICLE
Kavindra Singh, Ashutosh Kumar, Arun Srivastava, Rana P Singh, Raj Kumar
INTRODUCTION: Spontaneous pneumocephalus following ventriculoperitoneal shunting is a very unique complication, seen in a handful of patients. Small bony defects form as a result of chronically raised intracranial pressure, which can later lead to pneumocephalus once intracranial pressure decreases following ventriculoperitoneal shunting. CASE REPORT: Here, we present a case of a 15-year-old girl with NF1 who presented to us with pneumocephalus 10 months following shunting and our management strategy along with a literature review of this condition...
July 1, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/37305372/cerebrospinal-fluid-liver-pseudocyst-a-bizarre-long-term-complication-of-ventriculoperitoneal-shunt-a-case-report
#27
Muhammad Nadeem Yousaf, Haider A Naqvi, Shriya Kane, Fizah S Chaudhary, Jason Hawksworth, Vikram V Nayar, Thomas W Faust
BACKGROUND: Ventriculoperitoneal (VP) shunt placement has become a standard of care procedure in managing hydrocephalus for drainage and absorption of cerebrospinal fluid (CSF) into the peritoneum. Abdominal pseudocysts containing CSF are the common long-term complication of this frequently performed procedure, mainly because VP shunts have significantly prolonged survival. Of these, liver CSF pseudocysts are rare entities that may cause shunt dysfunction, affect normal organ function, and therefore pose therapeutic challenges...
May 27, 2023: World Journal of Hepatology
https://read.qxmd.com/read/37255910/endoscopic-third-ventriculostomy-in-a-12-year-old-with-recurrent-failure-of-ventriculoperitoneal-shunts
#28
Monica Dhiman, Fahim Soukhak, Jonathan Eskenazi
With a success rate of about 80%, ventriculoperitoneal (VP) shunts are widely used for the treatment of hydrocephalus. Whether congenital or acquired, hydrocephalus is not a single disease entity. It can be caused by abnormal cerebrospinal fluid (CSF) reabsorption, obstruction along the ventricular pathways, or, very rarely, increased production of CSF itself. This case presents a patient with a history of congenital hydrocephalus with multiple failed VP shunts. Through various clinical examinations and diagnostic measures, an endoscopic third ventriculostomy was eventually performed...
April 2023: Curēus
https://read.qxmd.com/read/37198871/ultrasound-guided-cannulation-of-the-right-subclavian-vein-via-a-supraclavicular-approach-for-the-placement-of-a-ventriculoatrial-shunt
#29
JOURNAL ARTICLE
Stefan Boskovic, Stefan Weber, Se-Chan Kim
Central venous cannulation is usually performed via the internal jugular vein (IJV) or subclavian vein (SclV) using the Seldinger technique. The puncture of the SclV can be achieved supraclavicular which was described by Yoffa in 1965. The original approach by Yoffa is based on anatomical landmarks. Ventriculoatrial (VA) shunts in patients suffering from hydrocephalus are becoming more common. It is the procedure of choice in patients with ventriculoperitoneal (VP) shunt complications. We present a case of a female patient with a complex cervical venous anatomy and an obscure inaccessible right internal jugular vein (IJV)...
May 17, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37165711/prompt-closure-versus-gradual-weaning-of-external-ventricular-drainage-for-hydrocephalus-following-aneurysmal-subarachnoid-haemorrhage-protocol-for-the-drain-randomised-clinical-trial
#30
JOURNAL ARTICLE
Tenna Capion, Alexander Lilja-Cyron, Markus Harboe Olsen, Marianne Juhler, Kirsten Møller, Angelika Sorteberg, Pål André Rønning, Frantz Rom Poulsen, Joakim Wismann, Celina Ravlo, Jørgen Isaksen, Jane Lindschou, Christian Gluud, Tiit Mathiesen
BACKGROUND: Aneurysmal subarachnoid haemorrhage (aSAH) is a life-threatening disease caused by rupture of an intracranial aneurysm. A common complication following aSAH is hydrocephalus, for which placement of an external ventricular drain (EVD) is an important first-line treatment. Once the patient is clinically stable, the EVD is either removed or replaced by a ventriculoperitoneal shunt. The optimal strategy for cessation of EVD treatment is, however, unknown. Gradual weaning may increase the risk of EVD-related infection, whereas prompt closure carries a risk of acute hydrocephalus and redundant shunt implantations...
May 10, 2023: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/37055486/ventriculopleural-shunt-outcomes-for-pediatric-hydrocephalus-a-single-institution-experience
#31
JOURNAL ARTICLE
Daniel E Oyon, Mandana Behbahani, Shelly Sharma, Dana E Coons, Tatiana Pundy, Luis G Fernandez, William Gibson, Tadanori Tomita
PURPOSE: The aim of this study is to analyze rates of ventriculopleural (VPL) shunt failure and complications among patients with pediatric hydrocephalus, and to analyze which factors may predict early (< 1 year) or late (> 1 year) VPL shunt failure in this sample. METHODS: A retrospective chart review was conducted of all consecutive VPL shunt placements from 2000 to 2019 at our institution. Data was collected on patient characteristics, shunt history, and shunt type...
April 14, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/37033578/severe-traumatic-brain-injury-and-ventriculoperitoneal-shunt-challenges-a-case-report
#32
Lucie Cunha, Eduarda Pereira
Traumatic brain injury (TBI) is an acquired damage to the brain caused by an external mechanical force and may result in temporary or long-term disability. It is a prevalent condition that highlights the need for increased awareness. Despite advances in the technology used to monitor and guide therapy, it is a difficult and complex disease process to manage. Elevated intracranial pressure (ICP), a complication of neurologic injury, is associated with increased mortality and worse outcomes. Decompressive craniectomy is effective in controlling ICP and is potentially lifesaving in patients who have failed medical therapy...
March 2023: Curēus
https://read.qxmd.com/read/37020505/hemangioblastoma-of-the-medulla-oblongata-that-caused-isolated-fourth-ventricle-after-stereotactic-radiosurgery-a-case-report
#33
Yuya Hama, Takahiro Sasaki, Toshikazu Yamoto, Junya Fukai, Hiroki Nishibayashi, Naoyuki Nakao
Isolated fourth ventricle is a rare complication following shunt insertion of the lateral ventricles for hydrocephalus. The present report describes a rare case of a hemangioblastoma of the medulla oblongata that caused isolated fourth ventricle due to intraventricular deposition of fibrin. A 34-year-old man presented with headache a month before admission. Magnetic resonance imaging indicated multiple tumors in the medulla oblongata and the bilateral cerebellar hemisphere with surrounding edema, and the patient was diagnosed with hemangioblastoma...
May 2023: Molecular and Clinical Oncology
https://read.qxmd.com/read/37004536/intraventricular-hemorrhage-in-term-infants-a-single-institutional-experience-between-2016-and-2020
#34
JOURNAL ARTICLE
Benjamin M Abraham, Mohamed A Zaazoue, Guang Xu, Katrina A Ducis
PURPOSE: Intraventricular hemorrhage (IVH) of prematurity is a known complication of preterm birth. Intraventricular hemorrhage in term infants is much less commonly encountered. To address the lack of information in the current literature concerning this demographic, we offer demographic and image findings that demonstrate etiology and predict the need for permanent cerebrospinal fluid (CSF) diversion. METHODS: A prospectively maintained database was queried for all patients with intraventricular hemorrhage from 2016 to 2020 treated at our institution...
April 1, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/37004535/ventriculosubgaleal-shunt-an-institutional-experience
#35
JOURNAL ARTICLE
Jain Anurag, Chopra Sandeep, Sharma Arunav
BACKGROUND AND OBJECTIVE: Ventriculosubgaleal shunt (VSGS) was first described in 1896 by Von Mickulicz. It allows CSF to flow from the dilated ventricle to the subgaleal pouch developed in the scalp through a small silicon tube. The possibility that the hydrocephalic state in infants caused by hemorrhage/ + infection will only last a short while prompts the search for temporary management options, which must be a closed system in order to be more physiological given that these infants are frequently preterm (LBW) and immunologically immature...
April 1, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/37004507/chronic-pleural-effusion-in-ventriculoperitoneal-shunt-due-to-diaphragmatic-csf-fistula-report-of-a-case-treated-by-endoscopic-choroid-plexus-coagulation-and-literature-review
#36
Simon Schmid, Andrea Bevot, Felix Neunhoeffer, Jörg Michel, Matthias Kumpf, Matthias Reimold, Michael Hofbeck, Martin Schuhmann
Chronic pleural cerebrospinal fluid (CSF) effusion is a rare complication after ventriculoperitoneal (VP) shunt insertion and only 18 cases in children and adults have been described so far without catheter dislocation to the intrathoracic cavity. We report on a 4-year-old girl with a complex history of underlying neurogenetic disorder, a hypoxic ischemic encephalopathy after influenza A Infection with septic shock and severe acute respiratory distress syndrome, followed by meningitis at the age of 10 months...
April 1, 2023: Pediatric Neurosurgery
https://read.qxmd.com/read/37002765/role-of-ommaya-reservoir-in-pediatric-hydrocephalus-experience-in-bangladesh-medical-college-hospital-from-2019-2021
#37
JOURNAL ARTICLE
R Hamid, V C Gomes, N Huda, A R Khan, M Chowdhury, I Azam
The goal of this study was to analyze the efficacy of the Ommaya reservoir within all the different types of hydrocephalus in pediatric patients. At the same time, it's safe for repeated aspirations or long-term retention of the reservoir in the body. This retrospective, cross-sectional study was performed from January 2019 to December 2021, 33 consecutive cases of reservoir implantation were taken into the study irrespective of the etiology of hydrocephalus in the Neurosurgery Department of Bangladesh Medical College Hospital, Dhaka, Bangladesh...
April 2023: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/36992611/temporary-surgical-management-of-intraventricular-hemorrhage-in-premature-infants
#38
JOURNAL ARTICLE
Eun-Kyung Park, Ja-Yoon Kim, Dong-Seok Kim, Kyu-Won Shim
Post-hemorrhagic hydrocephalus (PHH) in preterm infant is common, life-threatening and the main cause of bad developmental outcomes. Ventriculoperitoneal (VP) shunt is used as the ultimate treatment for PHH. Low birth weight and low gestational age are the combination of worse prognostic factors while the single most important prognostic factor of VP shunting is age. Aggressive and early intervention have better effect in intraventricular hemorrhage (IVH) and intracranial pressures (ICP) control. It reduces infection rate and brain damage resulted in delayed shunt insertion...
March 30, 2023: Journal of Korean Neurosurgical Society
https://read.qxmd.com/read/36960906/asymptomatic-shunt-fracture-in-a-patient-with-history-of-tuberculous-meningoencephalitis-a-case-report
#39
JOURNAL ARTICLE
Army Pambudi Suryo, Muhammad Arifin Parenrengi
Ventriculoperitoneal (VP) shunt is the most frequently performed procedure in patients with hydrocephalus, but can cause seri¬ous complications. Shunt fractures, is a rare complication of VP shunt and can be damage for patient. The question of whether asymptomatic patients should or should not be operated on remains to be answered. The authors report a case of a pediatric patient who had an asymptomatic shunt fracture with a history of tuberculous menin¬goencephalitis (TBM). We report the case of a 7-year-old girl with a shunt fracture and a history of hydrocephalus due to TBM...
2023: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://read.qxmd.com/read/36951979/placement-of-evd-in-pediatric-posterior-fossa-tumors-safe-and-efficient-or-old-fashioned-the-vienna-experience
#40
JOURNAL ARTICLE
Cora Hedrich, Johannes Gojo, Amedeo Azizi, Andreas Peyrl, Irene Slavc, Fabian Winter, Thomas Czech, Christian Dorfer
PURPOSE: The perioperative treatment of hydrocephalus in pediatric posterior fossa tumors with an external ventricular drain (EVD) is the treatment of choice in our center. We analyzed our experience in using EVD concerning safety and effectivity. METHODS: This is a single-center retrospective cohort study of 100 consecutive pediatric patients who underwent resection for a newly diagnosed tumor in the posterior fossa between 2011 and 2022. RESULTS: Of the 100 patients with posterior fossa tumors, 80 patients (80%) had radiological signs of hydrocephalus at presentation, 49 patients (49%) of whom underwent placement of an EVD...
March 23, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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