| Management of Adult Hydrocephalus with Ventriculoperitoneal Shunts: Long-Term Single Institution Experience. | |
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MedLine Citation:
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PMID: 21508873 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND:: Ventriculoperitoneal shunting is the most widely used neurosurgical procedure for the management of hydrocephalus. Objective: To evaluate the long-term single institution experience in the management of adult hydrocephalus patients with ventriculoperitoneal shunts in adult patients. METHODS:: Adult patients who underwent ventriculoperitoneal shunt placement for hydrocephalus from October 1990 to October 2009 were included. Medical charts, operative reports, imaging studies, and clinical follow- up evaluations were reviewed and analyzed retrospectively for clinical outcome in adult hydrocephalus patients. RESULTS:: A total of 683 adult patients were included in the study. The most common etiologies of hydrocephalus include idiopathic (29%), tumors and cysts (20%), post craniotomy (13%) and subarachnoid hemorrhage (13%). The overall shunt failure was 32%, and the majority (74%) of shunt revisions occurred within the first 6 months. The median time to first shunt revision was 9.31 months. Etiology of hydrocephalus showed significant impact on the incidence of shunt revision/failure as well as on the median time to shunt revision. Similarly, type of hydrocephalus had a significant effect on the incidence of shunt failure and the median time to shunt revision. CONCLUSION:: A large proportion of patients (32%) experience shunt failure following shunt placement for hydrocephalus. Although the overall incidence of shunt revision was comparable to previously reported studies, the fact that a large proportion of adult populations with shunt placement experience shunt failure is a concern. |
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Authors:
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G Kesava Reddy; Papireddy Bollam; Runhua Shi; Bharat Guthikonda |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-18 |
Journal Detail:
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Title: Neurosurgery Volume: - ISSN: 1524-4040 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Neurosurgery, 1Feist-Weiller Cancer Center, Louisiana State University Health Sciences Center, Shreveport, LA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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