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Management of Adult Hydrocephalus with Ventriculoperitoneal Shunts: Long-Term Single Institution Experience.
MedLine Citation:
PMID:  21508873     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
G Kesava Reddy; Papireddy Bollam; Runhua Shi; Bharat Guthikonda
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-18
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, 1Feist-Weiller Cancer Center, Louisiana State University Health Sciences Center, Shreveport, LA.
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