Abstract
Objective:This study was conducted to assess outcomes in patients with hydrocephalus who underwent ventriculoperitoneal shunting at Keen’s point.Methods:This retrospective study was conducted in Combined Military Hospital (CMH) Peshawar. Time frame was four years from January 2011 to January 2015. The presenting complaints, clinical findings, investigations, treatment plans and surgical outcomes were noted. Ventriculo-Peritoneal (VP) shunting was done at Keen’s point. The presence of shunt complications in the first week post-surgery was noted and at a three-month follow up in the outpatient department. General condition of the patient, shunt complications, presence of seizure and worsening of vision were noted.Results:Study included 143 patients, out of whom 46 were females and 95 were male patients. Most common causes of hydrocephalus were congenital (79). Majority of adults had hydrocephalus due to central nervous system tumors while congenital hydrocephalus in children was most frequently due to aqueductal stenosis. Good clinical improvement was seen in 114 patients after shunt placement, satisfactory in 20 patients, 7 patients died while we observed no change in two patients.Conclusion:Our experience with VP shunting at Keen’s point resulted in excellent outcomes. It can be used for the management of hydrocephalus both in pediatric as well as adult population.
Highlights
Hydrocephalus is defined as a condition in which there is abnormal accumulation of cerebrospinal fluid in the ventricles of the brain
It is mostly associated with an increase in the Intracranial Pressure (ICP)
Patients were not considered for an Endoscopic Third Ventriculostomy (ETV) because of non-availability of this facility
Summary
Hydrocephalus is defined as a condition in which there is abnormal accumulation of cerebrospinal fluid in the ventricles of the brain. It is mostly associated with an increase in the Intracranial Pressure (ICP). The main surgical strategy to manage this problem is the placement of Ventriculoperitoneal (VP) shunt. VP shunt insertion is the most common procedure done in neurosurgery and remains the gold standard surgical procedure to manage Hydrocephalus (HCP).[1,2] More than 40,000 of these procedures are performed annually in the USA, costing over $ 1 billion.[3,4].
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
