Document Detail


Ventriculoperitoneal shunt dysfunction during rehabilitation: prevalence and countermeasures.
MedLine Citation:
PMID:  12172065     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We examined the prevalence of shunt dysfunction (e.g., overdraining or underdraining malfunctions) in patients with a ventriculoperitoneal shunt and elucidated effective countermeasures of a programmable valve shunt system in treatments for shunt dysfunction during rehabilitation therapy. SUBJECTS: Among 114 patients with a ventriculoperitoneal shunt for normal pressure hydrocephalus, underdraining appeared in eight patients during hospitalization for rehabilitation therapy, and seven patients experienced overdraining. RESULTS: We could treat underdraining noninvasively for all six patients with a programmable valve shunt system by decreasing the opening pressure, whereas the other two patients with a fixed valve pressure system required surgical replacement of the valve unit. We could also treat overdraining noninvasively in two cases with programmable valve shunt system by increasing the opening pressure. In two cases with fixed valve pressure system, however, chronic subdural hematomas had to be surgically treated. Either dysfunction interfered with a better functional outcome in rehabilitation therapy. Barthel index after the countermeasures and continuous rehabilitation therapies was significantly larger than the index before the countermeasures in both overdraining and underdraining groups. CONCLUSIONS: Shunt dysfunction appeared in approximately 13.2% of patients with a ventriculoperitoneal shunt during hospitalization for rehabilitation. The ventriculoperitoneal shunt using programmable valve shunt system was convenient and valuable for treating both overdraining and underdraining malfunctions in the rehabilitation ward.
Authors:
Hikaru Muramatsu; Kimiko Koike; Akira Teramoto
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  81     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-12     Completed Date:  2002-09-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  571-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine, Kasugai Rehabilitation Hospital, Yamanashi, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Equipment Failure / statistics & numerical data
Female
Humans
Hydrocephalus, Normal Pressure / radiography,  rehabilitation*,  therapy
Male
Middle Aged
Prevalence
Retrospective Studies
Therapy, Computer-Assisted*
Tomography, X-Ray Computed
Treatment Outcome
Ventriculoperitoneal Shunt / adverse effects*,  methods,  statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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