| Modified External Ventricular Drainage in Pediatric Tuberculous Meningitis: Is It Possible to Avoid Ventriculoperitoneal Shunt Placement? | |
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MedLine Citation:
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PMID: 21893953 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective: Ventriculoperitoneal shunting is the current mainstay of treatment for children with tuberculous meningitis with hydrocephalus. However, ventriculoperitoneal shunting is highly associated with complications, and more importantly, long-term, indwelling shunt devices may adversely affect children's spirits and psychological health. Therefore, there is clearly a need to explore methods of CSF diversion to avoid ventriculoperitoneal shunting. Methods: We studied 6 cases of children with tuberculous meningitis with hydrocephalus in whom external drainage from the ventricle to the subcutaneous abdomen was adopted. Outcomes were assessed over a 6- to 9-month follow-up period based on improvements in radiological features, such as ventricular morphology, as well as the need for ventriculoperitoneal shunting and any complications. Results: The drainage tubes were removed in 4 cases 4-6 months after the modified external ventricular drainage surgery, and 2 patients went on to receive a ventriculoperitoneal shunt. All patients' CSF protein and cell counts returned to normal, and imaging showed improved ventricular morphology and no intracranial secondary infection. Conclusion: In our preliminary study, the modified ventricular drainage device can produce satisfactory outcomes and relatively safe effects and may help some patients to avoid ventriculoperitoneal shunt placement. |
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Authors:
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Jian Lin; Nu Zhang; Hang-Song Sheng; Mao-de Wang; Bo Yin; Fen-Chun Lin |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-02 |
Journal Detail:
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Title: Pediatric neurosurgery Volume: - ISSN: 1423-0305 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-6 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114967 Medline TA: Pediatr Neurosurg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 S. Karger AG, Basel. |
Affiliation:
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Department of Neurosurgery, First Affiliated Hospital of Medical College of Xi'an Jiaotong University, Xi'an, PR China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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