Prevention and Management of Cerebrospinal Fluid Shunt Complications

2015 ◽  
pp. 114-130 ◽  
Author(s):  
Warwick J. Peacock
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Shunt ◽  
Shunt Complications

Cerebrospinal Fluid Shunt Complications after Urological Procedures in Children with Myelodysplasia

Neurosurgery ◽  
2002 ◽  
Vol 50 (2) ◽  
pp. 313-320 ◽  
Author(s):  
Philipp R. Aldana ◽  
John Ragheb ◽  
Jason Sevald ◽  
Katheryn Nathe ◽  
Rafael Gosalbez ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Spina Bifida ◽  
Cerebrospinal Fluid Shunt ◽  
Shunt Surgery ◽  
Complex Treatment ◽  
Shunt Complications ◽  
Urological Surgery ◽  
Increased Risk ◽  
Urological Procedures

ABSTRACT OBJECTIVE Invasive urological procedures, commonly performed on patients with myelodysplasia, may contribute to the occurrence of cerebrospinal fluid shunt complications. Shunt complications that occurred after urological procedures in children with myelodysplasia were studied. METHODS Shunt complications occurring after urological procedures were examined in 29 patients. Differences between patients with or without complications were studied. Complications were analyzed according to the location of abnormality, the treatment, and the timing after shunt and urological surgery. RESULTS The 1-year incidence of shunt complications after a urological procedure had been performed was 31% (overall incidence, 41.4%). Shunt complications were observed only after intraperitoneal urological procedures. Most complications were distal, occurring more than 1 year after the preceding shunt surgery. The patients in the shunt complications group had significantly more intraperitoneal urological procedures (3.2 versus 0.8, P = 0.004) and previous shunt revisions (2.0 versus 0.9, P = 0.015) than had the group without complications. As compared with the group of patients with extraperitoneal complications, the intraperitoneal group experienced significantly more infections (4 of 9 versus 0 of 10, P = 0.014) requiring more complex treatment, and their complications occurred significantly earlier in the follow-up period after the urological procedure had been performed (7.2 versus 27.3 mo, P = 0.006). The patients in the group with extraperitoneal complications experienced significantly more mechanical shunt malfunctions than did the intraperitoneal group (9 of 10 versus 4 of 9, P = 0.016), which required simple shunt revisions. CONCLUSION Patients with spina bifida and shunted hydrocephalus may have an increased risk of developing intraperitoneal shunt complications after intraperitoneal urological procedures have been performed. These intraperitoneal shunt complications usually occur a few months after urological surgery and require complex treatment.

Cerebrospinal fluid shunt complications

1995 ◽  
Vol 11 (5) ◽  
pp. 265-273 ◽  
Author(s):  
CRAIG B. KEY ◽  
STEVEN G. ROTHROCK ◽  
JAY L. FALK
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Shunt ◽  
Shunt Complications

Cerebrospinal Fluid Shunt Complications after Urological Procedures in Children with Myelodysplasia

Neurosurgery ◽  
2002 ◽  
Vol 50 (2) ◽  
pp. 313-320
Author(s):  
Philipp R. Aldana ◽  
John Ragheb ◽  
Jason Sevald ◽  
Katheryn Nathe ◽  
Rafael Gosalbez ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Shunt ◽  
Shunt Complications ◽  
Urological Procedures

Cerebrospinal Fluid Shunt Complications

2005 ◽  
Vol 15 (1) ◽  
pp. 1-4 ◽  
Author(s):  
M Faraji Rad ◽  
Payman Vahedi ◽  
Ali Shoeibi
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Shunt ◽  
Shunt Complications

Mechanical complications of cerebrospinal fluid shunt. Differences between adult and pediatric populations: myths or reality?

2021 ◽  
Author(s):  
Guillaume Coll ◽  
Francis Abed Rabbo ◽  
Emmanuel de Schlichting ◽  
Aurélien Coste ◽  
Jean Chazal ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Shunt ◽  
Mechanical Complications ◽  
Pediatric Populations

scholarly journals Evaluation of Microbial Bacterial and Fungal Diversity in Cerebrospinal Fluid Shunt Infection

PLoS ONE ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e83229 ◽  
Author(s):  
Tamara D. Simon ◽  
Christopher E. Pope ◽  
Samuel R. Browd ◽  
Jeffrey G. Ojemann ◽  
Jay Riva-Cambrin ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Fungal Diversity ◽  
Shunt Infection ◽  
Cerebrospinal Fluid Shunt
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