TY  - JOUR
TI  - Ventriculoperitoneal shunt obstructions in the absence of radiological abnormalities: retrospective analysis of a pediatric cohort
AB  - 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.
AU  - Kasab, Reyhan
AU  - Taskapilioglu, M Ozgur
DO  - 10.31362/patd.1248327
PY  - 2023
JO  - Pamukkale Tıp Dergisi
VL  - 16
IS  - 3
SN  - 1309-9833
SP  - 430
EP  - 433
DB  - TRDizin
UR  - http://search/yayin/detay/1193067
ER  -