42424

Evaluation of ventriculosubgaleal shunt for post- hemorrhagic hydrocephalus

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Neurosurgery

Advisors

Zuhdi, Ahmad Z. , El-Makkawi, Sherif G. , El-Refaei, Eihab A.

Authors

Wahdan, Muhammad Ahmad Muhammad Ahmad

Accessioned

2017-07-12 06:41:12

Available

2017-07-12 06:41:12

type

M.Sc. Thesis

Abstract

The early management of post hemorrhagic hydrocephalus in premature infants is challenging and controversial. These infants need a temporary cerebrospinal fluid (CSF) diversion procedure until they gain adequate weight, and the blood and protein levels in CSF are reasonably low before permanent shunt can be placed. Various options are available with their associated advantages and disadvantages. Ventriculosubgaleal shunts have been recommended as a more physiologic and less invasive means of achieving this goal. Patients and Methods: 21 patients with different age groups- 7 of each for comparison- (neonates, infants, children, adolescents) with post hemorrhagic hydrocephalus underwent placement of ventriculosubgaleal shunts. We reviewed their clinical and imaging progress to assess the ability of the shunt to control hydrocephalus and the complication rates. Results: In all 21 patients, the V/S shunt controlled the progression of hydrocephalus. A permanent shunt was placed in 9 patients. One patient required revision of the subgaleal shunt after slippage, two patients developed infection and two CSF leak. Conclusions: V/S shunt for CSF diversion offers a simple, effective and relatively safe means of treating hydrocephalus in the neonate, with a low risk of complications and the possibility of avoiding permanent shunting.

Issued

1 Jan 2014

DOI

http://dx.doi.org/10.21473/iknito-space/36361

Details

Type

Thesis

Created At

28 Jan 2023