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https://www.readbyqxmd.com/read/29035775/avoiding-the-pocket-a-case-report-of-coiling-of-distal-shunt-catheter-into-subcutaneous-pocket
#1
Richard Justin Garling, Sandeep Sood, Carolyn Anne Harris
INTRODUCTION: Hydrocephalus is one of the most common disorders of neurosurgery and ventricular shunting, the primary surgical intervention, malfunctions in 85% of patients by 10 years. PRESENTATION OF CASE: Here we present a case of a 12-year-old girl with history of a vagal nerve stimulator (VNS) and ventricular shunt, most recently revised from ventriculoatrial (VA) to ventriculoperitoneal (VP) shunt at an outside hospital. The patient presented with a new left chest bulge, nausea, emesis, and seizures...
October 10, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28993858/treatment-of-abdominal-pseudocysts-and-associated-ventricuoperitoneal-shunt-failure
#2
Emily Dzongowski, Kamary Coriolano, Sandrine de Ribaupierre, Sarah A Jones
PURPOSE: The purpose of this study was to determine whether drainage and revision are an effective treatment for abdominal pseudocyst associated ventriculoperitoneal (VP) shunt failure by estimating the total rate of secondary shunt failure. METHODS: We performed a retrospective review of children with hydrocephalus diagnosed with and treated for an abdominal pseudocyst at the Children's Hospital, London Health Sciences Centre (LHSC) between January 1, 2000 and May 31, 2016 (ethics approval # 108136)...
October 9, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28989050/novel-application-of-time-spatial-labeling-inversion-pulse-magnetic-resonance-imaging-for-diagnosis-of-external-hydrocephalus
#3
Shunsuke Nakae, Kazuhiro Murayama, Kazuhide Adachi, Tadashi Kumai, Masato Abe, Yuichi Hirose
BACKGROUND: Although a subdural fluid collection is frequently observed, diagnostic methods that differentiate between the subdural collection caused by external hydrocephalus and that caused by subdural hygroma have not been established. Here, we report a case of external hydrocephalus caused by Gliadel-induced eosinophilic meningitis that has been previously reported in only one case and can be diagnosed by time-spatial labeling inversion pulse magnetic resonance imaging (Time-SLIP MRI)...
October 5, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28984537/neurosurgical-transection-of-the-breast-an-unexpected-extracranial-complication-of-ventriculoperitoneal-shunt-insertion
#4
Molly Jakeman, Ranjeet Jeevan, Sasha C Burn, Sian Falder
Ventriculoperitoneal (VP) shunt placement is among the most common surgical procedures undertaken by neurosurgeons. Complications arising from the thoracic portion of the shunt are relatively rare in comparison with those of the intraventricular and peritoneal portions. Disruption of primary breast development following VP shunt placement has not previously been reported. The authors describe the case of a 15-year-old girl referred to the plastic surgery department with a significant right breast deformity and associated asymmetry following VP shunt placement performed during the neonatal period...
October 6, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28965232/the-role-of-simultaneous-abdominal-surgery-and-wound-classification-in-ventriculoperitoneal-shunt-complication
#5
Shin Miyata, Jamie Golden, Olga Lebedevskiy, James E Stein, David W Bliss
PURPOSE: To evaluate whether simultaneous abdominal surgery or wound contamination at the time of ventriculoperitoneal (VP) shunt placement are associated with increased shunt complications. METHODS: Pediatric patients who underwent VP shunt placement were identified using the National Surgical Quality Improvement Program Pediatric database. VP shunt complication rates were compared between patients who underwent simultaneous abdominal surgeries at the time of VP shunt placement vs those who did not and between those with clean/clean-contaminated and contaminated/dirty wound classifications...
September 30, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28964945/validation-of-a-predictive-scoring-system-for-ventriculoperitoneal-shunt-insertion-following-aneurysmal-subarachnoid-hemorrhage
#6
Raghav Gupta, Luis C Ascanio, Alejandro Enriquez-Marulanda, Christoph J Griessenauer, Anu Chinnadurai, Ray Jhun, Abdulrahman Alturki, Christopher S Ogilvy, Ajith J Thomas, Justin M Moore
INTRODUCTION: Hydrocephalus is a frequently encountered complication in the context of aneurysmal subarachnoid hemorrhage (aSAH). Here, we performed an external validation of the recently proposed Post-Subarachnoid Shunt Scoring (PS3) system, which aims to stratify patients presenting with aSAH based on their relative risk of requiring ventriculoperitoneal (VP) shunt insertion. MATERIALS AND METHODS: A retrospective review of all patients presenting with aSAH to our institution between July 2007 and December 2016, who underwent CT imaging at the time of hospital admission, was performed...
September 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28943418/the-availability-of-a-tin-alloyed-omnidirectional-retractor-supporting-ring-for-ventriculoperitoneal-shunt-laparotomy-technical-note
#7
Yosuke Moteki, Yoshikazu Okada, Tatsuya Inoue, Shinsuke Sato, Kentaro Kuwamoto, Shogo Shima, Yasunari Niimi
OBJECTIVE: We report the availability of a newly developed, malleable, tin-alloyed omnidirectional retractor-supporting (OD) ring for steady and safe ventriculoperitoneal (VP) shunt laparotomy. METHODS: The OD ring is principally circular in shape, 15 cm in diameter, and is sufficiently malleable to be fitted to the abdominal wall. Twenty-two outward protrusions that are 12 mm in length are welded to the outside of the ring at regular intervals. The OD ring with twisted rubber bands, attached around the protrusions, is placed on the abdominal wall surrounding the skin incision...
September 21, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28936068/hydrocephalus-associated-with-large-vestibular-schwannoma-management-options-and-factors-predicting-requirement-of-cerebrospinal-fluid-diversion-after-primary-surgery
#8
A R Prabhuraj, Nishanth Sadashiva, Santhosh Kumar, Dhaval Shukla, Dhananjaya Bhat, Bhagavatula Indira Devi, Sampath Somanna
OBJECTIVE: Obstructive hydrocephalus (HCP) related to vestibular schwannoma occurs in large tumors compressing the fourth ventricle. Symptoms related to HCP are expected to alleviate after resection of the tumor and decompression of the cerebrospinal fluid (CSF) pathways. However, some patients may require permanent cerebrospinal diversion even after surgery due to persistent HCP. In this study, the authors try to find out the factors associated with the requirement of CSF diversion after vestibular schwannoma surgery in cases of persistent HCP...
August 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28905145/brainstem-herniation-into-the-internal-acoustic-canal-secondary-to-hydrocephalus-in-context-of-spontaneous-cerebrospinal-fluid-otorrhea-report-of-a-novel-entity
#9
Cristian Gragnaniello, John S Myseros, Reza Taheri, Ashkan Monfared
INTRODUCTION AND CLINICAL PRESENTATION: The authors report a case of a 5-year-old boy presenting with vision loss, right-sided hearing loss, and facial paralysis secondary to hydrocephalus causing brainstem herniation into the internal auditory canal (IAC) following cerebrospinal fluid (CSF) otorrhea. MANAGEMENT AND OUTCOME: After placement of a ventriculo-peritoneal shunt (VP shunt), the vision and facial palsy improved whilst hearing loss persisted. Imaging demonstrated partial reduction of the herniated brainstem and resolution of hydrocephalus...
September 13, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28902005/propionibacterium-acnes
#10
Inês Marques Carneiro, Ana Sousa Pereira, Sara Pinto, Filipa Prata, Cláudia C Faria, José Gonçalo Marques
Infection after implantation of ventriculo-peritoneal (VP) shunts is associated with significant morbidity and mortality. We describe a 9-year-old girl with Propionibacterium acnes shunt infection with negative cerebrospinal fluid cultures, diagnosed by broad-range 16S-rRNA gene PCR. This case supports the use of this molecular diagnostic technique in shunt infections, where the offending pathogens are difficult to culture using traditional methods.
September 7, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28899431/the-role-of-perfusion-and-diffusion-mri-in-the-assessment-of-patients-affected-by-probable-idiopathic-normal-pressure-hydrocephalus-a-cohort-prospective-preliminary-study
#11
Francesco Tuniz, Maria Caterina Vescovi, Daniele Bagatto, Daniela Drigo, Maria Cristina De Colle, Marta Maieron, Miran Skrap
BACKGROUND: Invasive tests measuring resistance to cerebral spinal fluid (CSF) outflow and the effect of temporary drainage of CSF are used to select candidates affected by idiopathic normal pressure hydrocephalus (iNPH) for shunt surgery. Neither test, however, completely excludes patients from treatment. Perfusion and diffusion magnetic resonance imaging (MRI) are non-invasive techniques that might be of value in selecting patients for surgical treatment and understanding brain changes in iNPH patients...
September 12, 2017: Fluids and Barriers of the CNS
https://www.readbyqxmd.com/read/28892991/neisseria-meningitidis-causing-multiple-cerebral-abscesses-in-early-neonatal-period-case-report-and-review-of-literature
#12
Laxman Basani, Roja Aepala
Neisseria meningitidis is a rare cause of meningitis and septicemia in neonates. There are few published case reports of neonatal meningococcal meningitis complicated by subdural empyema, cerebral abscess and hydrocephalus. Few cases of neonatal meningococcal meningitis have been reported in the literature with none of them having the complication of multiple cerebral abscesses in early neonatal period (<seven days of life). We report a case of meningococcal meningitis with multiple cerebral abscesses which presented on fifth day of life and developed hydrocephalus at five weeks of life requiring a Ventriculo Peritoneal (VP) shunt...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28889317/the-predictive-value-of-t-tau-and-ab1-42-levels-in-idiopathic-normal-pressure-hydrocephalus
#13
Claudia L Craven, Irene Baudracco, Henrik Zetterberg, Michael P T Lunn, Miles D Chapman, Neghat Lakdawala, Laurence D Watkins, Ahmed K Toma
BACKGROUND: Idiopathic normal pressure hydrocephalus (INPH) has no reliable biomarker to assist in the selection of patients who could benefit from ventriculo-peritoneal (VP) shunt insertion. The neurodegenerative markers T-tau and Aβ1-42 have been found to successfully differentiate between Alzheimer's disease (AD) and INPH and therefore are candidate biomarkers for prognosis and shunt response in INPH. The aim of this study was to test the predictive value of cerebrospinal fluid (CSF) T-tau and Aβ1-42 for shunt responsiveness...
September 9, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28868190/upward-migration-and-peroral-extrusion-of-a-peritoneal-shunt-catheter-case-report-and-review-of-the-literature
#14
Asra Al Fauzi, Wihasto Suryaningtyas, Joni Wahyuhadi, M Arifin Parenrengi, Agus Turchan, Maria C Wijaya, Michael Jonatan, Mahyudanil, Hanis Setyono
BACKGROUND: Various complications after ventriculoperitoneal (VP) shunt surgery have been reported, but peroral extrusion of peritoneal catheter is an extremely rare complication, and only 20 cases have been reported since 1987. The pathophysiology still remains unclear and the management is challenging. CASE DESCRIPTION: A 5-year-old boy presented with a catheter coming out of his mouth. The boy had a posterior fossa tumor surgery and had VP shunt insertion 1 year earlier...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28866663/infections-of-intrathecal-baclofen-delivery-systems-and-ventriculoperitoneal-shunting-systems-clinical-series-discussion
#15
Oussama Abousamra, Maria Del Pilar Duque Orozco, Kenneth J Rogers, Freeman Miller, Julieanne P Sees
BACKGROUND/AIMS: The physiological interaction between the intrathecal baclofen (ITB) delivery system and the ventriculoperitoneal (VP) shunting system in a patient who had both systems implanted has not been reported previously. The aim of our report is to evaluate the effect that one system's infection might have on the other. METHODS: Records of children who were followed at our institution between 2004 and 2015 for management of their ITB systems were reviewed...
September 2, 2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28835126/ventriculoperitoneal-shunts-in-neonates-a-retrospective-study-of-outcomes-with-antibiotic-impregnated-catheters-and-a-modified-peri-operative-antibiotic-protocol
#16
Werner Jaeger, Sharon Lee, Deepa Vineet, Anthony Keil, Nitesh Agarwal, Shripada Rao
BACKGROUND: CSF infection is a significant complication of ventriculoperitoneal (VP) shunts and results in prolonged hospital stay, developmental delay and decreased quality of life. To decrease the high rates of neonatal VP shunt infections, an updated clinical guideline that included the use of antibiotic-impregnated shunts and a revised peri-operative antibiotic protocol was introduced in our neonatal unit. In this study, we evaluated the efficacy of these new guidelines in reducing the CSF shunt infection rates...
August 24, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28802360/resolution-of-bilateral-sensorineural-hearing-loss-following-ventriculoperitoneal-shunt-and-literature-review
#17
REVIEW
A Jamshidi, C Glidewell, J Murnick, S Magge, B K Reilly
OBJECTIVE: The purpose of this study is to highlight the relationship between obstructive hydrocephalus, changes in intracranial pressure, and sensorineural hearing loss. METHODS: A case of a 10-month old infant with sensorineural hearing loss secondary to obstructive hydrocephalus is reported. A literature review, with a focus on sensorineural hearing loss in the setting of changes in intracranial pressure, was performed. RESULTS: The authors report the case of a 10-month old infant with metopic and bicoronal craniosynostosis who presented with bilateral moderately severe sensorineural hearing loss after failing newborn hearing screening...
September 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28765020/delayed-intracerebral-hemorrhage-secondary-to-ventriculoperitoneal-shunt-a-retrospective-study
#18
Liemei Guo, Xu Chen, Bin Yu, Lin Shen, Xiaohua Zhang
BACKGROUND: Postoperative delayed intracerebral hemorrhage (DICH) secondary to ventriculoperitoneal (VP) shunt is a rare but severe event. The present study aimed to investigate the incidence and risk factors related to DICH post VP shunt. METHODS: The clinical data from 532 patients with VP shunt were collected retrospectively. All clinical variables were examined by univariate analysis, and a binary logistic regression analysis was performed to identify the risk factors related to DICH...
July 29, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28764615/cerebral-tuberculosis-in-a-patient-with-systemic-lupus-erythematosus-following-cyclophosphamide-treatment-a-case-report
#19
S Cooray, H Zhang, R Breen, G Carr-White, R Howard, M Cuadrado, D D'Cruz, G Sanna
Central nervous system (CNS) tuberculosis (TB) is a rare but catastrophic event in patients with systemic lupus erythematosus (SLE). Here we report a case of cerebral TB in a patient with lupus myocarditis and nephritis, following cyclophosphamide immunosuppression. To our knowledge this is the first reported case of cerebral TB in SLE in a non-endemic country. A 31-year-old female with SLE and a history of regular travel to Kenya presented to our centre with clinical features of acute heart failure. She was diagnosed with severe lupus myocarditis, and a renal biopsy also confirmed lupus nephritis...
January 1, 2017: Lupus
https://www.readbyqxmd.com/read/28756364/chiari-i-malformation-with-underlying-pseudotumor-cerebri-poor-symptom-relief-following-posterior-decompression-surgery
#20
Ahmed Alnemari, Tarek R Mansour, Stephanie Gregory, William K Miller, Mark Buehler, Daniel Gaudin
INTRODUCTION: 
 Pseudotumor cerebri (PTC) patients exhibit clear clinical signs and symptoms of higher intracranial pressure (ICP) without ventricular enlargement or mass lesions. The clinical picture of patients with PTC can sometimes be similar to that of Chiari Malformation type I (CMI). There is some evidence that Chiari I malformation and PTC may coexist, which raises the question of whether PTC is an idiopathic disease or a complication of posterior decompression surgery-treatment of choice for Chiari I malformation...
2017: International Journal of Surgery Case Reports
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