Document Detail

Long-term risks and benefits of a separate CSF access device with ventriculoperitoneal shunting in childhood hydrocephalus.
MedLine Citation:
PMID:  12549752     Owner:  NLM     Status:  MEDLINE    
To determine the long-term risks and benefits of a separate CSF reservoir in the management of 52 children (23 males, 29 females) with shunted hydrocephalus, a retrospective study was performed comparing the use and complications after separate reservoir insertion, with a prereservoir control period. Median age at first shunt insertion was 1 month and median age at reservoir insertion was 2 years 6 months. Median follow-up for shunt with the additional reservoir was 19 years 1 month. There was no mortality due to shunt failure nor CNS infection, and there were significantly fewer episodes of ventriculitis (p < 0.01) and shunt blockage (p < 0.0001) compared with the prereservoir period. There was no hemiplegia, epilepsy, visual, nor cognitive loss from the additional reservoir. The reservoir was used for access in 344 attendances (mean 6.62 attendances per patient) for diagnosis or treatment of raised pressure or CNS infection. It was concluded that a separate CSF reservoir is useful in the long-term management of patients with shunted hydrocephalus and is without mortality or significant increased morbidity.
T Y M Lo; L M Myles; R A Minns
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Developmental medicine and child neurology     Volume:  45     ISSN:  0012-1622     ISO Abbreviation:  Dev Med Child Neurol     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-28     Completed Date:  2003-02-07     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0006761     Medline TA:  Dev Med Child Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  28-33     Citation Subset:  IM    
Department of Paediatric Neuroscience, Royal Hospital for Sick Children, Edinburgh, Scotland, UK.
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MeSH Terms
Child, Preschool
Encephalitis / etiology
Equipment Design
Equipment Failure
Hydrocephalus / etiology,  surgery*
Lateral Ventricles*
Reoperation / statistics & numerical data
Retrospective Studies
Risk Factors
Spinal Dysraphism / complications
Survival Analysis
Time Factors
Treatment Outcome
Ventriculoperitoneal Shunt / adverse effects*,  instrumentation,  standards*

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

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