Document Detail


Lumboperitoneal shunts in children.
MedLine Citation:
PMID:  12476026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the safety and efficacy of lumboperitoneal (LP) shunts in carefully selected children with abnormalities of the absorption of cerebrospinal fluid. METHODS: Magnetic resonance imaging studies, indications for treatment and pre- and postoperative symptoms of 25 patients (mean age 9.6 years) who had undergone LP shunting in the past 10 years in a single pediatric neurosurgical practice were analyzed retrospectively. RESULTS: Indications for treatment included postoperative pseudomeningocele, pseudotumor cerebri and a severe form of slit ventricle syndrome. Preoperative symptoms resolved completely in all 25 patients as a result of the shunt, and no patient developed symptomatic or radiographic hindbrain herniation. Twenty-one shunts incorporated valve mechanisms. CONCLUSION: LP shunts may be used for specific indications without excessive risk of hindbrain herniation.
Authors:
Harold L Rekate; Donna Wallace
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  38     ISSN:  1016-2291     ISO Abbreviation:  Pediatr Neurosurg     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2002-12-11     Completed Date:  2003-03-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  41-6     Citation Subset:  IM    
Copyright Information:
Copyright 2003 S. Karger AG, Basel
Affiliation:
Division of Pediatric Neurosurgery, Barrow Neurological Institute, 2910 N Third Avenue, Phoenix, AZ 85013, USA. Harold.rekate@bnaneuro.net
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brain Diseases / complications*,  pathology,  surgery*
Cerebrospinal Fluid Shunts / adverse effects*
Child
Child, Preschool
Encephalocele / etiology*,  pathology
Humans
Hydrocephalus / etiology*,  pathology,  surgery*
Infant
Lumbosacral Region / pathology,  surgery*
Magnetic Resonance Imaging
Peritoneum / pathology,  surgery*
Postoperative Complications*
Retrospective Studies

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


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