Article
Clinical Neurology
Raffaele Falsaperla, Manuela Lo Bianco, Antonio Palmeri, Pasqua Betta, Roberto Altieri, Giuseppe Maria Barbagallo, Martino Ruggieri
Summary: This retrospective cohort study compared the short-term efficacy of external ventricular drains (EVDs) and ventriculosubgaleal (VSG) shunt in managing posthemorrhagic hydrocephalus in preterm newborns. The study found that EVD had a higher risk of infection and reintervention rate compared to VSG shunt, and there was a significant delay in conversion to a definitive ventriculoperitoneal (VP) shunt.
Article
Clinical Neurology
Paolo Frassanito, Francesca Serrao, Francesca Gallini, Federico Bianchi, Luca Massimi, Giovanni Vento, Gianpiero Tamburrini
Summary: For neonatal post-hemorrhagic hydrocephalus (PHH), ventriculosubgaleal shunt (VSgS) and neuroendoscopic lavage (NEL) have been proposed as effective treatment options to reduce the risk of infection and multiloculated hydrocephalus.
CHILDS NERVOUS SYSTEM
(2021)
Article
Clinical Neurology
Mohamed Mohsen Amen, Ahmed Zaher, Hatem Ibraheem Badr, Mohammad Fekry Elshirbiny, Ahmed Mahmoud Elnaggar, Amr Farid Khalil
Summary: VSGS as a temporary CSF diversion procedure for PIH patients is safe and effective, reducing hospital stay and economic burden. The study found a high proportion of cases needing permanent diversion, with complications including scalp infection and CSF leakage.
CHILDS NERVOUS SYSTEM
(2022)
Review
Neurosciences
Sandip Chatterjee
Summary: Ventriculosubgaleal shunts are used for treating hydrocephalus in low-birth-weight neonates, while ventriculocholecystal shunts are a last resort when all else fails.
Article
Clinical Neurology
Sandeep Muram, Albert M. Isaacs, Nicholas Sader, Richard Holubkov, Annie Fong, John Conly, Mark G. Hamilton
Summary: This study aimed to create a standardized infection prevention bundle to reduce the rate of shunt infections. The implementation of Calgary Adult Shunt Infection Prevention Protocol (CASIPP) significantly reduced the infection rate, and the introduction of chlorhexidine/alcohol further decreased the rate to 0%. Multivariable logistic regression analysis showed that the use of chlorhexidine/alcohol with CASIPP was associated with a significant reduction in the odds of developing a shunt infection.
JOURNAL OF NEUROSURGERY
(2023)
Article
Clinical Neurology
Miss Cristina Bleil, Francesca Vitulli, Mr Asfand Baig Mirza, Timothy Martyn Boardman, Qusai Al Banna, Wisam AlFaiadh, Mr Bassel Zebian
Summary: In this study, a modified surgical approach for ventriculosubgaleal shunt (VSGS) was found to be effective in reducing the risk of infection by reducing the risk of CSF leak from the surgical wound.
CHILDS NERVOUS SYSTEM
(2023)
Review
Neurosciences
Yi-Jen Ho, Wen-Chun Chiang, Hsin-Yi Huang, Shinn-Zong Lin, Sheng-Tzung Tsai
Summary: This meta-analysis evaluates the safety and effectiveness of lumboperitoneal shunt (LPS) compared to ventriculoperitoneal shunt (VPS) for treating communicating hydrocephalus. The results show that LPS has lower complication and obstruction rates, and improves radiological outcomes.
CNS NEUROSCIENCE & THERAPEUTICS
(2023)
Article
Clinical Neurology
Hengameh B. Pajer, Andrew P. Carlson, James A. Botros, Heather S. Spader
Summary: This study found that Apple Watch interferes with the normal operation of the Codman CERTAS Plus electronic programmer, and keeping Apple Watch away from the programmer can prevent incorrect readings and setting changes.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Hengameh B. Pajer, Andrew P. Carlson, James A. Botros, Heather S. Spader
Summary: The study found that Apple Watches emit significant magnetic fields which interfere with the Codman CERTAS Plus electronic programmer, causing difficulties in valve programming. This highlights the importance of keeping smartwatches and other electronic devices away from the programmer to avoid incorrect readings and setting changes.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Wilson A. M. Fisher, Michael P. Catalino, E. Alice Woolard, Bethany J. Andrews, Scott Elton, Carolyn Quinsey
Summary: This study explored the impact of surgical techniques and instruments on the mechanical integrity of ventriculoperitoneal shunt system, specifically shunt catheters. The results showed that the failure rates varied significantly depending on the instruments used and the assembly technique. The use of mosquito forceps with shods and technique A resulted in significantly lower failure rates, while DeBakey forceps were found to be the most damaging instrument.
JOURNAL OF NEUROSURGERY
(2023)
Article
Behavioral Sciences
Nadia Mansoor, Ole Solheim, Oddrun A. Fredriksli, Sasha Gulati
Summary: Shunt surgery in children is associated with high revision and complication rates. Misplacement of hardware and proximal occlusion were the most common reasons for revision surgery. It is important to focus on reducing misplacement and addressing other complications within 30 days postoperatively.
BRAIN AND BEHAVIOR
(2021)
Article
Biology
Fatemeh Khodadadei, Allen P. Liu, Carolyn A. Harris
Summary: The study suggests that shear forces in hydrocephalus shunts lead to increased cytokine secretion by astrocytes, contributing to shunt failure. Real-time imaging confirmed the importance of reducing shear stress activation of cells to prevent shunt failure.
COMMUNICATIONS BIOLOGY
(2021)
Review
Neurosciences
Jun Zhang, Xinyu Deng, Qiang Yuan, Pengfei Fu, Meihua Wang, Gang Wu, Lei Yang, Cong Yuan, Zhuoying Du, Jin Hu
Summary: This meta-analysis investigated the safety of staged and simultaneous operation in patients with comorbid cranial defects with hydrocephalus. The results showed that staged surgery is associated with a lower rate of postoperative subdural effusion. However, the stability of this conclusion is uncertain according to the sensitivity analysis, therefore individualized decisions should be made based on each patient's condition and cerebrospinal fluid tap test.
CNS NEUROSCIENCE & THERAPEUTICS
(2023)
Article
Clinical Neurology
Huseyin Yakar, Ismail Kaya
Summary: This study focuses on intermittent hydrocephalic symptoms caused by peritoneal catheter fractures, and a new diagnostic algorithm was successfully applied and followed up with patients. Provocation tests can quickly determine the clinical etiology, avoiding unnecessary surgical interventions.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Zhao Li, Hao Wang, Han Zhang, Jiqi Yang, Xiaofeng Yang, Liang Wen
Summary: This study retrospectively analyzed the application of continuous two-stage lumboperitoneal shunt (LPS) in the treatment of communicating hydrocephalus. The results showed that this surgical method simplified the procedure and had a low revision rate and shunt infection rate in clinical practice.
FRONTIERS IN NEUROLOGY
(2022)