Document Detail


Flow control versus antisiphon valves: late results concerning slit ventricles and slit-ventricle syndrome.
MedLine Citation:
PMID:  14758559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The aims of the study were firstly to investigate the time course of development of slit ventricles (SV) and slit-ventricle syndrome (SVsyndrome) in hydrocephalic patients shunted as infants and secondly to assess the difference in incidence of SV and SVsyndrome in 2 groups of patients - group A with a conventional valve and group B with an anti-siphon valve. PATIENTS AND METHODS: 27 infant patients with hydrocephalus received a ventriculoperitoneal shunt and were followed prospectively with annual clinic visits and at least two CT or MRI scans postoperatively. The scans were assessed for SV, and ventricular and parenchymal surface and cortical mantle thickness were measured. Revisions for shunt malfunction were recorded. RESULTS: SV were more frequent than SVsyndrome and developed within 6.5 months postoperatively in 21 % of patients and 48 % after 6 years. No significant difference in incidence of SV or in the surface and cortical mantle thickness were found between the two groups. Two patients (40 %) with early development of SV developed SVsyndrome, and the relative risk for shunt revision was significantly higher in patients who developed SV early. 48 % of patients did not need emergency shunt revision during the first 9 years. CONCLUSIONS: SV develop over years. The majority of patients with SV remain asymptomatic. No significant difference between the two groups was found concerning SV and SVsyndrome. If SV develop early in the postoperative period, complications are more frequent in the long-term, so elective valve adjustment should be considered.
Authors:
P Liniger; S Marchand; G L Kaiser
Related Documents :
20939039 - Coil closure of residual shunt after amplatzer pfo occlusion.
1394249 - Neurological outcome following neonatal post-haemorrhagic hydrocephalus: the effects of...
23557459 - Assessment of long-term omalizumab treatment in patients with severe allergic asthma.
24193229 - Impact of inhaled corticosteroid treatment on 15-year longitudinal respiratory function...
10616079 - Risk factors for repeated cerebrospinal shunt failures in pediatric patients with hydro...
10802499 - Etiology and management of pediatric chylothorax.
7224379 - The late appearance of chronic pericardial disease in patients treated by radiotherapy ...
15670369 - Treatment of cerebral vasospasm with intra-arterial fasudil hydrochloride.
16941739 - Topiramate monotherapy in infantile spasm.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie     Volume:  13 Suppl 1     ISSN:  0939-7248     ISO Abbreviation:  Eur J Pediatr Surg     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-02-03     Completed Date:  2004-05-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9105263     Medline TA:  Eur J Pediatr Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  S3-6     Citation Subset:  IM    
Affiliation:
Department of Paediatric Surgery, University Hospital Inselspital, Berne, Switzerland. philipp.liniger@insel.ch
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cerebral Ventricles / pathology
Child
Follow-Up Studies
Humans
Hydrocephalus / surgery
Reoperation
Time Factors
Treatment Outcome
Ventriculoperitoneal Shunt / adverse effects*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Biodecolourisation of some industrial dyes by white-rot fungi.
Next Document:  Long-term outcome in bladder detrusorectomy augmentation.