Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure

ERŞAHİN, Yusuf; Turhan, Tuncer; DİNÇ, Muhammet; MUTLUER, Saffet

Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure

Tuncer TURHAN, (Ege Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İzmir, Türkiye)

Yusuf ERŞAHİN, (Ege Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İzmir, Türkiye)

Muhammet DİNÇ, (Karaman Devlet Hastanesi, Nöroşirürji Kliniği, Karaman, Türkiye)

Saffet MUTLUER (Ege Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İzmir, Türkiye)

Turkish Neurosurgery

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Yıl: 2011 Cilt: 21 Sayı: 1 Sayfa Aralığı: 66 - 73 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure

Öz:

AMAÇ: Beyin-omurilik şant disfonksiyonu, çocukluk çağında halen önemli bir sorundur. Bu prospektif çalışma şant disfonksiyonunun semptom ve nedenleri üzerine odaklanmıştır. YÖNTEM ve GEREÇ: Bu çalışmada, Ocak 2001, Aralık 2005 tarihleri arasında şant disfonksiyonu nedeniyle opere edilen hastaların disfonksiyon nedenleri ve semptomları incelenmiştir. Tüm preoperatif ve operatif veriler prospektif olarak toplanmıştır. Bu veriler Fisher exact test ve ki-kare testleri kullanılarak değerlendirilmiştir. BULGULAR: Yüzonbir hasta ve 153 cerrahi prosedürün değerlendirilmesi sonucunda majör semptomlar kusma (69 hasta, %62,16), uykuya meyil (66 hasta, %59,45) ve baş ağrısı (54 hasta, %48,64) olarak tespit edilmiştir.Sekiz hastada ender görülen birtakım semptomlara rastlanmıştır. Bunlar amnezi, spastik monoparazi, ani körlük, ataksi, bradikinezi, disfaji ve üriner inkontinansdır. Şant revizyonlarının çoğunda (115 operasyon, %75,2) bir veya daha fazla mekanik sorunla karşılaşılmıştır. Bu mekanik sorunların çoğu tıkanma şeklindedir. Ayrıca abdominal pseudokist 12 revizyonda (% 7,8) karşımıza çıkmıştır. SONUÇ: Şant disfonksiyonları bazen çok alışılmadık semptomlarla ortaya çıkabilir. Ayrıca muhtemel şantla ilgili yapısal sorunlar, şant disfonksiyonu açısından hasta karakteristiklerinden daha önemli bir etken gibi görünmektedir. Bu nedenlerle şant disfonksiyonu şüphesinde tüm sistemi gözden geçirecek kranial bilgisayarlı tomografi, şant serisi direkt grafileri, batın ultrasonografisi gibi testlerin her hastaya uygulanması önemlidir.

Anahtar Kelime:

Konular: Cerrahi

Beyin-omurilik şant revizyonları, semptomların ve şantın mekanik yapısının önemi

Öz:

AIm: CSF shunt failure is still a frequent problem in children. This prospective study was designed for focusing symptoms and reasons of shunt failure. We also especially focused on the mechanical reasons of shunt failure. Ma terIal and Methods: We focused on the causes of shunt failures, and the symptoms and signs in patients who were operated for shunt malfunction between January 1, 2001 and December 31, 2005 in the neurosurgery department. All examination and operative data were collected prospectively. Evaluation of these data was with the chi-square and Fisher exact tests. Results: After the evaluation of data on 111 patients and 153 revision procedures, the major symptoms in this group were vomiting (62.16%), somnolence (59.45%) and headache (48.64%). In the majority of the shunt revisions (115 operations, 75.2% of the all 153 procedures), one or more mechanical problems of the shunt systems were identified in surgery. ConclusIon: Shunt failures in children sometimes appear with very unusual symptoms. Also, probable structural problems of the shunt systems seem very important for shunt failure according to patient characteristics and etiology of the hydrocephalus. A systematic approach including CT, shunt series and abdominal ultrasound is needed to rule out shunt malfunction.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Turhan T, ERŞAHİN Y, DİNÇ M, MUTLUER S (2011). Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. , 66 - 73.
Chicago	Turhan Tuncer,ERŞAHİN Yusuf,DİNÇ Muhammet,MUTLUER Saffet Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. (2011): 66 - 73.
MLA	Turhan Tuncer,ERŞAHİN Yusuf,DİNÇ Muhammet,MUTLUER Saffet Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. , 2011, ss.66 - 73.
AMA	Turhan T,ERŞAHİN Y,DİNÇ M,MUTLUER S Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. . 2011; 66 - 73.
Vancouver	Turhan T,ERŞAHİN Y,DİNÇ M,MUTLUER S Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. . 2011; 66 - 73.
IEEE	Turhan T,ERŞAHİN Y,DİNÇ M,MUTLUER S "Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure." , ss.66 - 73, 2011.
ISNAD	Turhan, Tuncer vd. "Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure". (2011), 66-73.

APA	Turhan T, ERŞAHİN Y, DİNÇ M, MUTLUER S (2011). Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. Turkish Neurosurgery, 21(1), 66 - 73.
Chicago	Turhan Tuncer,ERŞAHİN Yusuf,DİNÇ Muhammet,MUTLUER Saffet Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. Turkish Neurosurgery 21, no.1 (2011): 66 - 73.
MLA	Turhan Tuncer,ERŞAHİN Yusuf,DİNÇ Muhammet,MUTLUER Saffet Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. Turkish Neurosurgery, vol.21, no.1, 2011, ss.66 - 73.
AMA	Turhan T,ERŞAHİN Y,DİNÇ M,MUTLUER S Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. Turkish Neurosurgery. 2011; 21(1): 66 - 73.
Vancouver	Turhan T,ERŞAHİN Y,DİNÇ M,MUTLUER S Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure. Turkish Neurosurgery. 2011; 21(1): 66 - 73.
IEEE	Turhan T,ERŞAHİN Y,DİNÇ M,MUTLUER S "Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure." Turkish Neurosurgery, 21, ss.66 - 73, 2011.
ISNAD	Turhan, Tuncer vd. "Cerebro-spinal fluid shunt revisions, importance of the symptoms and shunt structure". Turkish Neurosurgery 21/1 (2011), 66-73.