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https://www.readbyqxmd.com/read/28087192/spontaneous-peritoneal-catheter-knot-formation-a-rare-cause-of-ventriculoperitoneal-shunt-malfunction
#1
Idrees Sher, Shanu Gambhir, Sarah Pinto, Asim Mujic, Jens Peters-Willke, Andrew Hunn
Ventriculoperitoneal (VP) shunting remains invaluable in the management of hydrocephalus. It is a common procedure that can be complicated by shunt malfunction due to infection, blockage and disconnection. Spontaneous peritoneal catheter knot formation causing CSF flow obstruction is a rare phenomenon. We present a case of a 12years old boy with spontaneous knot formation in the peritoneal catheter causing VP shunt obstruction and hydrocephalus.
January 10, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28057596/paediatric-hydrocephalus-in-ethiopia-treatment-failures-and-infections-a-hospital-based-retrospective-study
#2
Tsegazeab Laeke, Abenezer Tirsit, Hagos Biluts, Deeptha Murali, Knut Wester
OBJECTIVE/BACKGROUND: Treatment of paediatric hydrocephalus in Sub-Saharan countries is associated with significant complication rates. The objective of this study is to analyse the management of hydrocephalus and complication rates of surgical intervention in the Ethiopian setting in order to improve future quality. METHODS: A retrospective cohort study was conducted in a neurosurgical teaching hospital. Two cohorts separated by 2.5 years were analysed. RESULTS: A total of 128(58...
January 2, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28032181/transcardiac-migration-of-ventriculoperitoneal-shunt-requiring-open-cardiac-surgery-case-report-and-review-of-the-literature
#3
Ashley Ralston, Amanda Johnson, Gerhard Ziemer, David M Frim
INTRODUCTION: Cardiac migration of ventriculoperitoneal (VP) shunts has been reported, with most easily removed or shortened via a cervical incision. We present a review of the literature, highlighting our unique case with significant scarring requiring open, on-pump, cardiac surgery for removal of migrated distal tubing. CASE PRESENTATION: A 7-year-old boy underwent VP shunt insertion for hydrocephalus secondary to intracranial astrocytoma. He presented at age 17 with evidence of right heart strain, associated with the distal shunt catheter proximally migrated into his heart and pulmonary arteries...
December 28, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28017216/olfactory-ability-in-normal-pressure-hydrocephalus-as-compared-to-alzheimer-s-disease-and-healthy-controls
#4
Jesse S Passler, Richard L Doty, Michelle C Dolske, Phillip G St Louis, Cherlynn Basignani, Julie W Pepe, Sergey Bushnev
OBJECTIVES: Normal pressure hydrocephalus (NPH) is a treatable neurological disorder that appears in older adults, lacks specific diagnostic criteria, and resembles symptoms seen in Alzheimer's disease (AD). Presently, differentiating NPH from AD in the early stages of symptom presentation remains difficult. This study established whether olfactory testing may be useful in this regard. In addition, we determined whether olfactory function of NPH patients differed before and after extended lumbar drainage (ELD), as well as six months after surgical implantation of a ventriculoperitoneal (VP) shunt...
January 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27890758/surgical-outcome-of-patients-with-very-small-intracranial-aneurysms-a-single-center-experience-from-southern-iran
#5
Abdolkarim Rahmanian, Fariborz Ghaffarpasand, Nima Derakhshan
OBJECTIVES: To report the surgical outcome of very small intracranial aneurysms (VSIAs; ≤3mm) in a large referral neurovascular center in Southern Iran. METHODS: This cross-sectional study was conducted in Southern Iran during a6-year period between 2010 and 2016. We included all the patients with VSIAs (≤3mm) who underwent surgery in our center. All the patients were operated by a single neurosurgeon. Pre- and postoperative CT angiography, intraoperative imaging with indo-cyanine green video angiography was performed in all the cases...
November 24, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27890544/persistent-hydrocephalus-due-to-postural-activation-of-a-ventricular-shunt-anti-gravity-device
#6
Claudia L Craven, Ahmed K Toma, Laurence D Watkins
The ever present need to balance over drainage with under drainage in hydrocephalus has required innovations including adjustable valves with antigravity devices. These are activated in the vertical position to prevent siphoning. We describe a group of bedridden patients who presented with unexplained under drainage caused by activation of antigravity shunt components produced by peculiar head/body position. Retrospective single centre case series of hydrocephalus patients, treated with ventriculo-peritoneal (VP) shunt insertion between April 2014 - February 2016...
November 24, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27882725/analysis-of-risk-factors-to-predict-communicating-hydrocephalus-following-gamma-knife-radiosurgery-for-intracranial-schwannoma
#7
Seunghoon Lee, Seong-Wook Seo, Juyoung Hwang, Ho Jun Seol, Do-Hyun Nam, Jung-Il Lee, Doo-Sik Kong
Communicating hydrocephalus (HCP) in vestibular schwannomas (VS) after gamma knife radiosurgery (GKRS) has been reported in the literature. However, little information about its incidence and risk factors after GKRS for intracranial schwannomas is yet available. The objective of this study was to identify the incidence and risk factors for developing communicating HCP after GKRS for intracranial schwannomas. We retrospectively reviewed a total of 702 patients with intracranial schwannomas who were treated with GKRS between January 2002 and December 2015...
December 2016: Cancer Medicine
https://www.readbyqxmd.com/read/27858384/efficacy-of-lumboperitoneal-shunting-in-patients-with-normal-pressure-hydrocephalus
#8
Mehmet Akif Bayar, Ayhan Tekiner, Haydar Celik, Ali Yilmaz, Guner Menekse, Timur Yildirim, Fatih Alagoz, Yahya Guvenc, Yavuz Erdem
AIM: To evaluate the effectiveness of lumboperitoneal shunt procedures in the treatment of normal pressure hydrocephalus Material and Methods: A medical record review was conducted to obtain demographic, clinical, laboratory data, as well as pre-, intra, -post-operative details of 65 patients who underwent lumboperitoneal shunt surgery between January 1, 2001 and January 1, 2014 in the Neurosurgery Clinics of Ankara Training and Research Hospital and Ankara Numune Hospital. RESULTS: At about 3 months after LP shunt surgery, the complaint of headache resolved in almost all patients; at the end of the first year, while statistically significant improvements were noted in the Modified Rankin Scores and Mini Mental Test Scores, gait disturbance, urinary incontinence and cognitive functions improved by 86%, 72% and 65% of the patients, respectively...
October 14, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27848003/positional-plagiocephaly-following-ventriculoperitoneal-shunting-in-neonates-and-infancy-how-serious-is-it
#9
Stuart A G Roberts, Joseph D Symonds, Reema Chawla, Emma Toman, Jonathan Bishop, Guirish A Solanki
PURPOSE: We test the hypothesis that ventriculoperitoneal (VP) shunt insertion significantly increases contralateral positional plagiocephaly. METHODS: We reviewed 339 children who had a VP shunt inserted at Birmingham Children's Hospital between 2006 and 2013, noting laterality of shunt insertion and frontal or occipital position. We ascertained the presence of post-operative positional plagiocephaly using the cranial vault asymmetry index. Multinomial logistic regression modelling was used to examine relationships between plagiocephaly, shunt position, gender and age...
November 15, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27834596/ventriculo-ureteral-shunt-insertion-using-percutaneous-nephrostomy-a-novel-minimally-invasive-option-in-a-patient-with-chronic-hydrocephalus-complicated-by-multiple-distal-ventriculoperitoneal-shunt-failures
#10
Ashok Pillai, Georgie Mathew, Sivasankaran Nachimuthu, Sanjeevan Vasudevan Kalavampara
The management of ventriculoperitoneal (VP) shunt failure is a common problem in neurosurgical practice. On occasion, extraperitoneal sites for CSF diversion are required when shunting to the peritoneal cavity has failed after multiple attempts. The authors report a novel minimally invasive procedure allowing cannulation of the ureter for the purpose of ventriculo-ureteral (VU) shunting. Sixteen years prior to presentation, this 46-year-old woman had contracted tuberculous meningitis and had chronic hydrocephalus, with multiple distal shunt failures in recent months...
November 11, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27813467/complications-of-ventricular-entry-during-craniotomy-for-brain-tumor-resection
#11
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/27810603/overdrainage-after-ventriculoperitoneal-shunting-in-a-patient-with-a-wide-depressed-skull-bone-defect-the-effect-of-atmospheric-pressure-gradient
#12
Lixiang Zhou, Jinlu Yu, Lichao Sun, Yanwu Han, Guangming Wang
INTRODUCTION: In patients with traumatic brain injury, an effective approach for managing refractory intracranial hypertension is wide decompressive craniectomy. Postoperative hydrocephalus is a frequent complication requiring cerebrospinal fluid (CSF) diversion. PRESENTATION OF CASE: A 50-year-old male who underwent decompressive craniectomy after traumatic brain injury. He developed hydrocephalus postoperatively, and accordingly we placed a ventriculoperitoneal shunt...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27761183/small-bowel-perforation-a-rare-complication-of-ventriculoperitoneal-shunt-placement
#13
Kelsey Bourm, Cory Pfeifer, Adam Zarchan
Small bowel perforation is a rare complication of ventriculoperitoneal (VP) shunt placement. When seen, it most commonly affects the stomach or colon. We describe a case and image findings of an 8-year-old female who presented with sepsis and erosion of the VP shunt into the small bowel. The imaging findings were confirmed surgically. We also provide an overview of the current literature discussing previously reported cases, clinical features, and treatment.
June 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/27695532/role-of-endoscopic-third-ventriculostomy-in-tuberculous-meningitis-with-hydrocephalus
#14
REVIEW
Yad R Yadav, Vijay S Parihar, Mina Todorov, Yatin Kher, Ishwar D Chaurasia, Sonjjay Pande, Hemant Namdev
Hydrocephalus is one of the commonest complications of tuberculous meningitis (TBM). It can be purely obstructive, purely communicating, or due to combinations of obstruction in addition to defective absorption of cerebrospinal fluid (CSF). Endoscopic third ventriculostomy (ETV) as an alternative to shunt procedures is an established treatment for obstructive hydrocephalus in TBM. ETV in TBM hydrocephalus can be technically very difficult, especially in acute stage of disease due to inflamed, thick, and opaque third ventricle floor...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27692614/the-predictive-value-of-desh-for-shunt-responsiveness-in-idiopathic-normal-pressure-hydrocephalus
#15
Claudia L Craven, Ahmed K Toma, Tarek Mostafa, Neekhil Patel, Laurence D Watkins
OBJECTIVE: Selecting probable idiopathic normal pressure hydrocephalus (INPH) patients for shunt insertion presents a challenge because of coexisting comorbidities and other conditions that could mimic NPH. The characteristic appearance of DESH (Disproportionately Enlarged Subarachnoid Space Hydrocephalus) on brain imaging has been shown to have a high positive predictive value in identifying shunt responsive INPH patients (SINPHONI trial). However, the negative predictive value of this radiological sign was not clearly demonstrated...
December 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27687144/neonatal-post-haemorrhagic-hydrocephalus-in-the-uk-a-survey-of-current-practice
#16
Naveen Kumar, Wisam Al-Faiadh, Jignesh Tailor, Conor Mallucci, Chris Chandler, Sanj Bassi, Benedetta Pettorini, Bassel Zebian
OBJECTIVES: The management of neonatal post-haemorrhagic hydrocephalus (nPHH) varies considerably between centres and even between neurosurgeons in the same centre. We performed a nationwide survey to evaluate current practice in the UK and reviewed the evidence for each intervention. METHODS: An online semi-structured questionnaire was emailed to all units registered on the British Paediatric Neurosurgery Group Mailing List. The survey consisted of 18 questions designed to establish the status quo in the management of nPHH, including preferred temporising procedure, factors guiding the timing of intervention and willingness to participate in a prospective study...
September 30, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27685821/group-b-streptoccocal-meningitis-and-ventriculo-peritoneal-shunts
#17
M Crealey, T Mandiwanza, D Crimmins, A Foran, J F A Murphy
There is no available Irish data on the rate of Ventriculo-peritoneal (VP) shunt insertion in infants with group B streptococcus (GBS) meningitis. We performed a retrospective case series of 40 infants with GBS meningitis over 6 years. Four (10%) infants required insertion of VP shunt for hydrocephalus. Those infants who required a VP shunt initially presented with seizures, lethargy and a low serum white cell count.
2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27670926/posttraumatic-hydrocephalus-as-a-confounding-influence-on-brain-injury-rehabilitation-incidence-clinical-characteristics-and-outcomes
#18
Alan H Weintraub, Donald J Gerber, Robert G Kowalski
OBJECTIVE: To describe incidence, clinical characteristics, complications, and outcomes in posttraumatic hydrocephalus (PTH) after 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 (N=59), 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/27586691/the-surgical-value-of-neurocysticercosis-analyzing-10-patients-in-5-years
#19
Anqi Xiao, Jiahe Xiao, Xiaoke Zhang, Chao You
AIM: To investigate the indications and clinical value of the surgical therapy of neurocysticercosis (NCC). MATERIAL AND METHODS: We retrospectively reviewed all 10 patients with NCC treated surgically from January 2009 to January 2014 in our institute. The NCC types included parenchymal cysticerci in 6 cases, subarachnoid cysticerci in 3 and ventricular cysticerci in 1. RESULTS: All 10 patients underwent resection of cysticerci through craniotomy...
2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27581319/laparoscopy-versus-mini-laparotomy-peritoneal-catheter-insertion-of-ventriculoperitoneal-shunts-a-systematic-review-and-meta-analysis
#20
Mingliang He, Leping Ouyang, Shengwen Wang, Meiguang Zheng, Anmin Liu
OBJECTIVE Ventriculoperitoneal (VP) shunt treatment is the main treatment method for hydrocephalus. The traditional operative approach for peritoneal catheter insertion is mini-laparotomy. In recent years, laparoscopy-assisted insertion has become increasingly popular. It seems likely that use of an endoscope could lower the incidence of shunt malfunction. However, there is no consensus about the benefits of laparoscopy-assisted peritoneal catheter insertion. METHODS A systematic search was performed using the PubMed, Embase, ScienceDirect, and Cochrane Library databases...
September 2016: Neurosurgical Focus
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