Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort
Yıl: 2023 Cilt: 16 Sayı: 3 Sayfa Aralığı: 430 - 433 Metin Dili: İngilizce DOI: 10.31362/patd.1248327 İndeks Tarihi: 21-08-2023
Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort
Öz: Purpose: Ventriculoperitoneal shunts are still the mainstay treatment for pediatric hydrocephalus. They have a high complication and failure rate, requiring multiple revisions. In this study, we aim to investigate patients who required shunt replacement without any radiological findings. Material and method: The files of patients under the age of 18, who underwent shunt revision between December 2015 and December 2020 in Bursa Uludag University Medical Faculty Neurosurgery Clinic were reviewed retrospectively. All the radiological studies, laboratory results and clinical conditions of the patients were examined. Results: We identified 127 patients who required a revision of ventriculoperitoneal shunt for suspected mechanical obstruction. 6 patients (5%) had symptoms of raised intracranial pressure, but showed no radiographic evidence of progressive ventricular dilatation. Conclusion: Dysfunction of a ventriculoperitoneal shunt does not always lead to associated radiological alterations. In a patient with signs of intracranial hypertension, revision of the system should be considered even in the absence of progressive ventricular dilatation in radiological studies.
Anahtar Kelime: Radyolojik anormalliklerin yokluğunda ventriküloperitoneal şant obstrüksiyonları: pediatrik bir kohortun retrospektif analizi
Öz: Öz Amaç: Ventriküloperitoneal şant uygulanması pediatrik hidrosefali hastaları için halen temel tedavi yöntemidir. Yüksek komplikasyon ve başarısızlık oranına sahiptirler ve çoklu revizyon gerektirirler. Bu çalışmada radyolojik bulgu olmaksızın şant replasmanı gerektiren hastaların araştırılması amaçlanmıştır. Gereç ve yöntem: Bursa Uludağ Üniversitesi Tıp Fakültesi Nöroşirürji Kliniği’nde Aralık 2015-Aralık 2020 tarihleri arasında şant revizyonu yapılan 18 yaş altı hastaların dosyaları retrospektif olarak incelendi. Hastaların tüm radyolojik çalışmaları, laboratuvar sonuçları ve klinik durumları incelendi. Bulgular: Mekanik obstrüksiyon şüphesi nedeniyle ventriküloperitoneal şant revizyonu gerektiren 127 hasta tespit edildi. 6 hastada (%5) artmış intrakraniyal basınç semptomlar vardı, ancak progresif ventrikül dilatasyonuna ait radyografik bulgu görülmedi. Sonuç: Ventriküloperitoneal şantın disfonksiyonu her zaman ilişkili radyolojik değişikliklere yol açmaz. İntrakraniyal hipertansiyon bulguları olan bir hastada, radyolojik çalışmalarda ilerleyici ventriküler dilatasyon olmasa bile sistemin revizyonu düşünülmelidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
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| APA | Kasab R, Taskapilioglu M (2023). Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. , 430 - 433. 10.31362/patd.1248327 |
| Chicago | Kasab Reyhan,Taskapilioglu M Ozgur Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. (2023): 430 - 433. 10.31362/patd.1248327 |
| MLA | Kasab Reyhan,Taskapilioglu M Ozgur Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. , 2023, ss.430 - 433. 10.31362/patd.1248327 |
| AMA | Kasab R,Taskapilioglu M Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. . 2023; 430 - 433. 10.31362/patd.1248327 |
| Vancouver | Kasab R,Taskapilioglu M Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. . 2023; 430 - 433. 10.31362/patd.1248327 |
| IEEE | Kasab R,Taskapilioglu M "Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort." , ss.430 - 433, 2023. 10.31362/patd.1248327 |
| ISNAD | Kasab, Reyhan - Taskapilioglu, M Ozgur. "Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort". (2023), 430-433. https://doi.org/10.31362/patd.1248327 |
| APA | Kasab R, Taskapilioglu M (2023). Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. Pamukkale Tıp Dergisi, 16(3), 430 - 433. 10.31362/patd.1248327 |
| Chicago | Kasab Reyhan,Taskapilioglu M Ozgur Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. Pamukkale Tıp Dergisi 16, no.3 (2023): 430 - 433. 10.31362/patd.1248327 |
| MLA | Kasab Reyhan,Taskapilioglu M Ozgur Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. Pamukkale Tıp Dergisi, vol.16, no.3, 2023, ss.430 - 433. 10.31362/patd.1248327 |
| AMA | Kasab R,Taskapilioglu M Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. Pamukkale Tıp Dergisi. 2023; 16(3): 430 - 433. 10.31362/patd.1248327 |
| Vancouver | Kasab R,Taskapilioglu M Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort. Pamukkale Tıp Dergisi. 2023; 16(3): 430 - 433. 10.31362/patd.1248327 |
| IEEE | Kasab R,Taskapilioglu M "Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort." Pamukkale Tıp Dergisi, 16, ss.430 - 433, 2023. 10.31362/patd.1248327 |
| ISNAD | Kasab, Reyhan - Taskapilioglu, M Ozgur. "Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort". Pamukkale Tıp Dergisi 16/3 (2023), 430-433. https://doi.org/10.31362/patd.1248327 |
