Clinical Pediatric Emergency Medicine
Volume 9, Issue 2 , Pages 76-82 , June 2008

Evaluation of Suspected Cerebrospinal Fluid Shunt Complications in Children

  • Peter Lee, MD

      Affiliations

    • Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL
    • ,
  • Arthur J. DiPatri Jr, MD

      Affiliations

    • Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL
    • Division of Pediatric Neurosurgery, Children's Memorial Hospital, Chicago, IL
    • Corresponding Author InformationReprint requests and correspondence: Arthur J. DiPatri, Jr., MD, Division of Pediatric Neurosurgery, Children's Memorial Hospital, 2300 Children's Plaza, Box 28, Chicago, IL 60614.

References 

  1. Anderson CE, Garton HJL, Kestle JRW. Treatment of hydrocephalus with shunts. In:  Albright L editors. Principles and practice of pediatric neurosurgery. New York (NY): Thieme Medical Publishers; 2007;p. 109–130
  2. Bondurant C, Jimenez D. Epidemiology of cerebrospinal fluid shunting. Pediatr Neurosurg. 1995;23:254–258
  3. Drake JM, Kestle JR, Milner R, et al. Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus. Neurosurgery. 1998;43:294–303
  4. Piatt JH. Physical examination of patients with cerebrospinal fluid shunts: is there useful information in pumping the shunt?. Pediatrics. 1989;89:470–473
  5. O'Brien DF, Taylor M, Park TS, et al. A critical analysis of ‘normal’ radionucleotide shuntograms in patients subsequently requiring surgery. Childs Nerv Syst. 2003;19:337–341
  6. Di Rocco C, Marchese E, Velardi F. A survey of the first complication of newly implanted CSF shunt devices for the treatment of nontumoral hydrocephalus. Cooperative survey of the 1991-1992 education committee of the ISPN. Childs Nerv Syst. 1994;10:321–327
  7. Browd SR, Ragel BT, Gottfried ON, et al. Failure of cerebrospinal fluid shunts: part I: obstruction and mechanical failure. Pediatr Neurol. 2006;34:83–92
  8. Olson S. The problematic slit ventricle syndrome. A review of the literature and proposed algorithm for treatment. Pediatr Neurosurg. 2004;40:264–269
  9. Teo C. Slit ventricle syndrome. In:  Batjer HH,  Loftus CM editor. Textbook of neurological surgery. New York (NY): Lippincott Williams & Wilkins; 2003;p. 875–880
  10. Rekate HL. The slit ventricle syndrome: advances based on technology and understanding. Pediatr Neurosurg. 2004;40:259–263
  11. Le H, Yamini B, Frim DM. Lumboperitoneal shunting as a treatment for slit ventricle syndrome. Pediatr Neurosurg. 2002;6:178–182
  12. Kariyattil R, Steinbock P, Singhal A, et al. Ascites and abdominal pseudocysts following ventriculoperitoneal shunt surgery: variations on a theme. J Neurosurg. 2007;106:350–353
  13. de Olivera RS, Barbosa A, Vicente YA, et al. An alternative approach for management of abdominal cerebrospinal fluid pseudocysts in children. Childs Nerv Syst. 2007;23:85–90
  14. Arnell K, Enblad P, Wester T. Treatment of cerebrospinal fluid shunt infections in children using systemic and intraventricular antibiotic therapy in combination with externalization of the ventricular catheter: efficacy in 34 treated infections. J Neurosurg. 2007;107:213–219
  15. Campbell JW. Shunt infections. In:  Albright L editors. Principles and practice of pediatric neurosurgery. New York (NY): Thieme Medical Publishers; 2007;p. 1141–1147
  16. Duhaime AC. Evaluation and management of shunt infections in children with hydrocephalus. Clin Pediatr (Phila). 2006;45:705–713

PII: S1522-8401(08)00026-8

doi: 10.1016/j.cpem.2008.03.001

Clinical Pediatric Emergency Medicine
Volume 9, Issue 2 , Pages 76-82 , June 2008

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