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Ventriculoperitoneal Shunt infections

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https://www.readbyqxmd.com/read/27923222/pediatric-primary-diffuse-leptomeningeal-primitive-neuroectodermal-tumor-a-case-report-and-literature-review
#1
Jesna Mathew Sublett, Caitlin Davenport, Howard Eisenbrock, Shamsher Dalal, Syed A Jaffar Kazmi, Amir Kershenovich
BACKGROUND: Primary diffuse leptomeningeal primitive neuroectodermal tumor (PDL PNET) is extremely rare, with only 19 cases reported in the literature to date. We present a case of a child with rapidly progressive PDL PNET and a literature review. A 10-year-old boy presented with mood lability, hallucinations, generalized pain, enuresis, and headaches. Initial investigation failed to produce a diagnosis. The symptoms progressed to seizure, back pain, and papilledema. Imaging showed acute hydrocephalus and mild diffuse leptomeningeal enhancement without an identifiable primary lesion...
December 7, 2016: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27911231/systematic-review-of-ventricular-peritoneal-shunt-and-percutaneous-endoscopic-gastrostomy-a-safe-combination
#2
Leendert H Oterdoom, D L Marinus Oterdoom, Johannes C F Ket, J Marc C van Dijk, Pieter Scholten
OBJECTIVE Various international and national gastrointestinal guidelines take different positions on whether ventriculoperitoneal shunt (VPS) insertion is a contraindication to percutaneous endoscopic gastrostomy (PEG). The objective of this meta-analysis was to try to answer the question of whether VPS insertion is a contraindication to PEG. METHODS A systematic review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. Electronic databases PubMed and Embase were searched using variations of the terms "ventriculo-peritoneal shunt" and "percutaneous (endoscopic) gastrostomy...
December 2, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27906037/integrated-therapy-for-hiv-and-cryptococcosis
#3
REVIEW
Sirawat Srichatrapimuk, Somnuek Sungkanuparph
Cryptococcosis has been one of the most common opportunistic infections and causes of mortality among HIV-infected patients, especially in resource-limited countries. Cryptococcal meningitis is the most common form of cryptococcosis. Laboratory diagnosis of cryptococcosis includes direct microscopic examination, isolation of Cryptococcus from a clinical specimen, and detection of cryptococcal antigen. Without appropriate treatment, cryptococcosis is fatal. Early diagnosis and treatment is the key to treatment success...
November 29, 2016: AIDS Research and Therapy
https://www.readbyqxmd.com/read/27895360/paediatric-external-ventricular-drains-experience-from-a-tertiary-care-hospital-of-a-developing-country
#4
Abbas Qalab, Rayaan Asad, Mahnaz Hakeem, Maria Ahmed, Haque Anwar, Aneela Darbar
The aim of the study was to describe indications and complications of external ventricular drain (EVD) placement in children aged between 1 month and 16 years. This retrospective chart review was conducted at the Aga Khan University Hospital, Karachi, and comprised all children who underwent EVD placement from January 2007 to December 2014. Of the 177 patients identified, 117(66%) were males 60(34%) were girls. The overall mean age was 5.4±5.2 years. The median Glasgow Coma Scale score on presentation and discharge was 13 (interquartile range [IQR]: 7) and 15 (IQR: 4), respectively...
October 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27826086/the-rate-of-complications-after-ventriculoperitoneal-shunt-surgery
#5
Alexander E Merkler, Judy Ch'ang, Whitney E Parker, Santosh B Murthy, Hooman Kamel
BACKGROUND: Although ventriculoperitoneal shunt (VPS) surgery is the most frequent surgical treatment for patients with hydrocephalus, modern rates of complications in adults are uncertain. METHODS: We performed a retrospective cohort study of adult patients hospitalized at the time of their first recorded procedure code for VPS surgery between 2005 and 2012 at nonfederal acute care hospitals in California, Florida, and New York. We excluded patients who during the index hospitalization for VPS surgery had concomitant codes for VPS revision, CNS infection, or died during the index hospitalization...
November 5, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27813467/complications-of-ventricular-entry-during-craniotomy-for-brain-tumor-resection
#6
Jessin K John, Adam M Robin, Aqueel H Pabaney, Richard A Rammo, Lonni R Schultz, Neema S Sadry, Ian Y Lee
OBJECTIVE Recent studies have demonstrated that periventricular tumor location is associated with poorer survival and that tumor location near the ventricle limits the extent of resection. This finding may relate to the perception that ventricular entry leads to further complications and thus surgeons may choose to perform less aggressive resection in these areas. However, there is little support for this view in the literature. This study seeks to determine whether ventricular entry is associated with more complications during craniotomy for brain tumor resection...
November 4, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27765754/fever-in-a-child-with-cerebrospinal-fluid-access-device-or-shunt-a-pragmatic-approach-to-management
#7
REVIEW
Betsy Cleave, Maria Cartmill, Shiu Shing Soo, Harish Vyas
Children with shunts commonly present with fever, and often the focus of infection will be unrelated to their shunt. However, as shunt infections may present with few or even no specific symptoms, evaluation of a child with a shunt presenting with fever should be careful and comprehensive to ensure shunt infections are not missed. Treatment of an infected shunt involves removal of the shunt followed by a long course of antibiotics; missing or partially treating shunt infections can result in significant morbidity and potentially even mortality...
October 20, 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27704004/a-novel-rapidly-growing-mycobacterium-species-causing-an-abdominal-cerebrospinal-fluid-pseudocyst-infection
#8
Cory K Hussain, Tom J B de Man, Nadege C Toney, Kamal Kamboj, Joan-Miquel Balada-Llasat, Shu-Hua Wang
Nontuberculous mycobacteria (NTM) are a rare cause of ventriculoperitoneal shunt infections. We describe the isolation and identification of a novel, rapidly growing, nonpigmented NTM from an abdominal cerebrospinal fluid pseudocyst. The patient presented with fevers, nausea, and abdominal pain and clinically improved after shunt removal. NTM identification was performed by amplicon and whole-genome sequencing.
September 2016: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/27670926/post-traumatic-hydrocephalus-as-a-confounding-influence-on-brain-injury-rehabilitation-incidence-clinical-characteristics-and-outcomes
#9
Alan H Weintraub, Donald J Gerber, Robert G Kowalski
OBJECTIVE: To describe incidence, clinical characteristics, complications, and outcomes in post-traumatic hydrocephalus (PTH) following traumatic brain injury (TBI) for patients treated in an inpatient rehabilitation program. DESIGN: Cohort study with retrospective comparative analysis SETTING: Inpatient rehabilitation hospital PARTICIPANTS: All patients admitted for TBI from 2009 to 2013 diagnosed with PTH, defined as ventriculomegaly, delayed clinical recovery discordant with injury severity, hydrocephalus symptoms, or positive lumbar puncture results...
September 23, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27642571/intrathecal-baclofen-pump-migration-into-the-peritoneal-cavity-a-case-report
#10
Timothy J Kovanda, Ecaterina Pestereva, Albert Lee
INTRODUCTION: Intrathecal baclofen pumps are valuable treatment options for those with cerebral palsy. Although subfascial baclofen pump placement is generally preferred over a subcutaneous pump placement due to lower infection rates, rare complications can occur with the subfascial approach such as pump migration. CASE PRESENTATION: The authors here describe a case of baclofen pump migration into the peritoneal cavity of a 26-year-old male patient with cerebral palsy, shunted hydrocephalus, and epilepsy...
June 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27638720/predicting-ventriculoperitoneal-shunt-infection-in-children-with-hydrocephalus-using-artificial-neural-network
#11
Zohreh Habibi, Abolhasan Ertiaei, Mohammad Sadegh Nikdad, Atefeh Sadat Mirmohseni, Mohsen Afarideh, Vahid Heidari, Hooshang Saberi, Abdolreza Sheikh Rezaei, Farideh Nejat
OBJECTIVES: The relationships between shunt infection and predictive factors have not been previously investigated using Artificial Neural Network (ANN) model. The aim of this study was to develop an ANN model to predict shunt infection in a group of children with shunted hydrocephalus. MATERIALS AND METHODS: Among more than 800 ventriculoperitoneal shunt procedures which had been performed between April 2000 and April 2011, 68 patients with shunt infection and 80 controls that fulfilled a set of meticulous inclusion/exclusion criteria were consecutively enrolled...
September 14, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27606014/immediate-and-long-term-outcome-analysis-of-lipomeningomyelocele-repair-in-asymptomatic-infants-in-a-tertiary-care-center
#12
Prashant Sadashiv Patil, Abhaya Gupta, Paras L Kothari, Geeta Kekre, Rahul Gupta, Vishesh Dikshit, Kedar Mudkhedkar, Krishna Kesan
OBJECTIVE: To analyze immediate and long-term results of lipomeningomyelocele (LMM) repair in asymptomatic patients. MATERIALS AND METHODS: Seventeen patients of LMM presented to Department of Paediatric Surgery over a period from 2011 to 2015 were evaluated preoperatively by magnetic resonance imaging of whole spine, and pre- and post-operative Ultrasound of kidney, ureter, bladder, and neurosonogram. Surgical procedure involved total excision of lipoma in 15 patients and near total excision in 2 patients...
April 2016: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/27593806/the-platelet-indices-in-diagnosis-of-ventriculoperitoneal-shunt-infection-in-children
#13
Ümit Celik, Tamer Celik, Orkun Tolunay, Çiğdem Dönmezer, Yurdal Gezercan, Kurthan Mert, Ali İhsan Ökten
AIM: Ventriculoperitoneal shunt infection (VPSI) is a main mortality and morbidity cause in hydrocephalus. Platelet indices, mean platelet volume (MPV) and platelet distribution width (PDW) have been evaluated for some infectious diseases. In this study we aimed to investigate whether MPV and PDW values are decisive for the diagnosis of VPSI in children. MATERIAL AND METHODS: Charts of VPSI from 2012 to 2015 were reviewed retrospectively. Twenty five ventriculoperitoneal shunt infected patients and 25 healthy children as the control group have been included in the study...
January 25, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27562986/primary-ventriculoperitoneal-shunting-outcomes-a-multicentre-clinical-audit-for-shunt-infection-and-its-risk-factors
#14
P Ym Woo, H T Wong, J Ks Pu, W K Wong, L Yw Wong, M Wy Lee, K Y Yam, W M Lui, W S Poon
OBJECTIVES: To determine the frequency of primary ventriculoperitoneal shunt infection among patients treated at neurosurgical centres of the Hospital Authority and to identify underlying risk factors. METHODS: This multicentre historical cohort study included consecutive patients who underwent primary ventriculoperitoneal shunting at a Hospital Authority neurosurgery centre from 1 January 2009 to 31 December 2011. The primary endpoint was shunt infection, defined as: (1) the presence of cerebrospinal fluid or shunt hardware culture that yielded the pathogenic micro-organism with associated compatible symptoms and signs of central nervous system infection or shunt malfunction; or (2) surgical incision site infection requiring shunt reinsertion (even in the absence of positive culture); or (3) intraperitoneal pseudocyst formation (even in the absence of positive culture)...
October 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/27506408/powder-topical-rifampicin-on-reducing-infections-after-neural-tube-defect-ntd-surgery-in-infants
#15
Nihat Demir, Erdal Peker, İsmail Gülşen, Selami Kocaman, Oğuz Tuncer, Ercan Kırımi
BACKGROUND: The correct timing and technique of neural tube defect (NTD) repairs significantly decreases the morbidity and mortality of NTD cases. However, infections related to the surgery are still common. We investigated the effects of topical rifampicin (RIF) combined with routine prophylaxis in newborns with open NTD. METHODS: Eighty-six patients who had undergone NTD surgery were included in the retrospective study. Thirty patients who started on topical RIF before surgery made up the study group, and 56 cases that were not administered topical RIF made up the control group...
August 6, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27502774/pericardial-effusion-and-cardiac-tamponade-after-ventriculoperitoneal-shunt-placement-a-case-report
#16
Natrujee Wiwattanadittakul, Kamornwan Katanyuwong, Chumpon Jetjumnong, Rekwan Sittiwangkul, Krit Makonkawkeyoon
Insertion of a ventriculoperitoneal shunt is a common neurosurgical procedure in both adult and paediatric patients. It is one of the most important treatments in cases of hydrocephalus; however, there is a wide range of complications: the most common complication being a shunt infection, and examples of rare complications are shunt migrations and cardiac tamponade. Several reports of distal ventriculoperitoneal shunt migration in different sites, including chest, right ventricle, pulmonary artery, bowel and scrotum were published...
October 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27418531/ventriculo-atrial-shunts-in-adults-incidence-of-infection-and-significant-risks-factors-a-single-center-experience
#17
A R Al-Schameri, J Hamed, G Baltsavias, P Winkler, L Machegger, B Richling, S Emich
BACKGROUND: In the last years the number of ventriculo-atrial shunt insertions has decreased worldwide, the major cause being the risk of shunt infection. Today, ventriculo-atrial shunts remain as an alternative option to ventriculoperitoneal shunts. We describe our 10 years experience with VA shunts by analyzing the incidence of shunt infections and predisposing co-factors. METHODS: During median follow-up time of 15.3 months a total of 259 shunt insertions, performed on 255 patients were analyzed...
July 11, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27392444/the-incidence-of-severe-intraventricular-hemorrhage-based-on-retrospective-analysis-of-35939-full-term-newborns-report-of-two-cases-and-review-of-literature
#18
Dawid Szpecht, Dagmara Frydryszak, Norbert Miszczyk, Marta Szymankiewicz, Janusz Gadzinowski
INTRODUCTION: Intraventricular hemorrhage (IVH) is mostly documented in premature infants, and the younger the gestational age, the more often it occurs. IVH is very rarely reported in full-term neonates. CASE REPORT: Retrospective analysis was performed in 35939 full-term neonates, who were born in the Clinical Hospital of Gynecology and Obstetrics at the University of Medical Sciences in Poznań. Clinical data were retrieved from their medical records. We report a case series of 2 term newborns, who developed severe IVH grade 3 and 4 with no evidence of asphyxia, neuroinfection, TORCH infections, coagulation disorders and trombocytopenia, metabolic disorders, arteriovenous malformations, and selected genetic abnormalities (factor V Leiden 1601G > A polymorphism and MTHFR 677C > T; 1298A > C polymorphisms)...
December 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27381112/ventriculoperitoneal-shunt-tube-infection-and-changing-pattern-of-antibiotic-sensitivity-in-neurosurgery-practice-alarming-trends
#19
Vikas Kumar, Ankit S Shah, Daljit Singh, Poonam S Loomba, Hukum Singh, Anita Jagetia
INTRODUCTION: Infection associated with a ventriculoperitoneal shunt is a severe complication with a high morbidity and substantial mortality. There are no guidelines to choose antibiotics in case of shunt infection. Most surgeons use antibiotics of their choice whereas limited centres follow their own antibiotic policy. An alarming increase in antibiotic resistance has led to rising morbidity and mortality. MATERIALS AND METHODS: This was a retrospective analysis of patients who underwent ventriculoperitoneal shunt surgery between January 2010 and December 2015 at our institution...
July 2016: Neurology India
https://www.readbyqxmd.com/read/27352349/ventriculoperitoneal-shunting-surgery-with-open-distal-shunt-catheter-placement-in-the-treatment-of-hydrocephalus
#20
Yang Zhang, Xiaobo Zhu, Jinchuan Zhao, Kun Hou, Xianfeng Gao, Yang Sun, Wei Wang, Xiaona Zhang
Ventriculoperitoneal shunting (VPS) is a major therapy for hydrocephalus, but has a significant risk of device malfunctioning. In this study, we explored a novel distal shunt catheter placement method in VPS for the treatment of hydrocephalus. Five patients with different etiologies of hydrocephalus underwent VPS with open distant shunt catheter attached outside. We analyzed different variables (age, gender, medical history, clinical presentation, indication for surgery and surgical technique, postoperative complications) and occurrence of shunt failure and infection...
November 2015: Cell Biochemistry and Biophysics
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