Document Detail


Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report.
MedLine Citation:
PMID:  20157718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Women with ventriculoperitoneal (VP) shunt require special care during pregnancy, although they develop few complications related to hydrocephalus.
CASE: We recently encountered a pregnant patient with hydrocephalus, which was caused by VP shunt malfunction induced by increased intra-abdominal pressure associated with pregnancy. She was treated by replacement of the VP shunt with a ventriculoatrial (VA) shunt. After treatment, she achieved vaginal delivery.
CONCLUSION: We recommend VA shunt implantation as a treatment option for the management of VP shunt malfunction during pregnancy. We further propose that patients in whom the VP shunt is replaced with a VA shunt can achieve spontaneous vaginal delivery.
Authors:
Masahiro Murakami; Mikio Morine; Takeshi Iwasa; Yohei Takahashi; Takeshi Miyamoto; Pooh Kyong Hon; Yoshinobu Nakagawa
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-16
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  282     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-04     Completed Date:  2010-11-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  339-42     Citation Subset:  IM    
Affiliation:
Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji, Kagawa, Japan. murakami@kagawasyoni.hosp.go.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebrospinal Fluid Shunts / methods
Equipment Failure*
Female
Humans
Hydrocephalus / etiology*,  surgery*
Infant, Newborn
Pregnancy
Pregnancy Complications / etiology,  surgery*
Reoperation
Term Birth
Ventriculoperitoneal Shunt / adverse effects*

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