| Pediatric hydrocephalus: Does the shunt device pressure selection affect the outcome? | |
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MedLine Citation:
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PMID: 22529548 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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AIM: To compare the efficacy of low- versus medium-pressure shunts in pediatric hydrocephalus in a randomized controlled trial. MATERIALS AND METHODS: Forty patients of pediatric hydrocephalus were randomized into two groups. The Chhabra differential pressure VP shunt (low or medium) was inserted in every patient. Postoperative follow-up was performed for symptomatic improvement and radiological evaluation (by sonography or computed tomography scan) for ventricle hemispheric ratio (VHR). Comparative analysis of pre- and postoperative VHR and need of redo surgery for shunt malformation were carried out to establish outcomes. RESULTS: Nineteen patients had a low-pressure and 21 patients had a medium-pressure shunt inserted. The age of the patients ranged from 1 day to 10 years. The average preoperative VHR in group A was 55.37%, which reduced to 40% postoperatively (P = 0.00005); likewise, the pre- and postoperative VHR in group B were 61.57% and 42%, respectively, which was statistically significant (P = 0.0006). The complications of shunts and incidence of redo shunt surgery in both groups were not found to be statistically significant (P = 0.5614). CONCLUSIONS: The study found no significant difference in the outcome of patients with low- or medium-pressure shunt placement in pediatric hydrocephalus. |
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Authors:
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Arvind Sinha; Anuj Sharma; Charitesh Gupta |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of Indian Association of Pediatric Surgeons Volume: 17 ISSN: 1998-3891 ISO Abbreviation: J Indian Assoc Pediatr Surg Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-04-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101179870 Medline TA: J Indian Assoc Pediatr Surg Country: India |
Other Details:
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Languages: eng Pagination: 54-7 Citation Subset: - |
Affiliation:
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Department of Pediatric Surgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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