Article
Clinical Neurology
Wen Li Chia, Malik Zaben, Paul Leach
Summary: The study evaluated the use of intraoperative cerebrospinal fluid (CSF) sampling in predicting future VP shunt infection, but results showed it to be unreliable with an Area Under the Curve (AUC) of 50.3%, similar to chance. Larger studies are needed to confirm these findings.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2021)
Article
Infectious Diseases
Xiao Zhang, Pengtao Li, Junxian Wen, Jianbo Chang, Yihao Chen, Rui Yin, Houshi Xu, Xiaoyu Liu, Lang Yang, Junji Wei
Summary: VPS is effective in treating TBM-associated hydrocephalus with good short-term outcomes, but long-term prognosis and management of shunt-related complications are crucial. Complications include catheter obstruction and infection.
BMC INFECTIOUS DISEASES
(2023)
Article
Clinical Neurology
Eng Tah Goh, Christine Lock, Audrey Jia Luan Tan, Bee Ling Tan, Sai Liang, Robin Pillay, Sumeet Kumar, Azlina Ahmad-Annuar, Vairavan Narayanan, Janell Kwok, Yi Jayne Tan, Adeline S. L. Ng, Eng King Tan, Zofia Czosnyka, Marek Czosnyka, John D. Pickard, Nicole C. Keong
Summary: This study aims to evaluate clinical responses after ventriculo-peritoneal shunt (VPS) in a cohort of patients with coexisting NPH and neurodegenerative disease. The results showed that after VPS insertion, Classic NPH patients had significantly improved cognition compared to Complex NPH patients. Improvement in gait and urinary symptoms did not differ between the groups.
FRONTIERS IN NEUROLOGY
(2022)
Review
Pharmacology & Pharmacy
X-T Wang, L-Y Zhang, H-T Lv, J. Liu, Y-H Xu
Summary: DICH after VPS surgery is a rare complication with unclear mechanisms, requiring further research. Both patients in the two cases recovered well with conservative treatment postoperatively, indicating successful surgery, but more cautious management of VPS patients is needed.
EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
(2021)
Review
Neurosciences
Vimal K. Paliwal, Ravindra K. Garg
Summary: Tuberculous meningitis is a deadly disease with high mortality rates, often leaving survivors with neurological disabilities. Hydrocephalus is a common complication, which may require surgical intervention.
Article
Health Care Sciences & Services
Zhijun Song, Xiaolei Chen, Zhenghui Sun, Fangye Li, Zhe Xue, Yongping Liang, Dingbiao Zhou
Summary: This study summarizes the clinical effectiveness of ventriculo-peritoneal shunt (VPS) assisted with neuroendoscopy and laparoscopy for patients with communicating hydrocephalus. The surgery success rate was high, with significant improvement in symptoms of the patients. The efficiency of shunt surgery decreased with follow-up time.
TECHNOLOGY AND HEALTH CARE
(2021)
Article
Clinical Neurology
Enrico Belgrado, Yan Tereshko, Francesco Tuniz, Christian Lettieri, Daniele Bagatto, Sara Fabbro, Daniele Piccolo, Gian Luigi Gigli, Miran Skrap, Mariarosaria Valente
Summary: This study evaluated extrapyramidal signs in iNPH patients and assessed the changes after the Tap Test using MDS-UPDRS-III. The results showed significant improvement in definite and probable iNPH groups on MDS-UPDRS-III score after the Tap Test. MDS-UPDRS-III may be a useful tool for diagnosing iNPH and identifying candidates for Ventriculo-Peritoneal Shunting.
JOURNAL OF THE NEUROLOGICAL SCIENCES
(2023)
Article
Clinical Neurology
Zhiqin Lin, Dongxia Liao, Dao Zheng, Fuxin Lin, Yuanxiang Lin, Zhongli Jiang, Xiaohui Ren, Song Lin
Summary: Trapped temporal horn (TTH), a form of localized hydrocephalus, can be effectively treated with cerebrospinal fluid shunting. Temporal-to-frontal horn shunt (TFHS) has been proposed as an alternative to ventriculo-peritoneal shunt (VPS) for TTH, offering promising results with lower complexity and invasiveness. This study compares the outcomes of TFHS and VPS in patients undergoing surgery for trigonal or peritrigonal tumors. The results show that TFHS has similar revision rates to VPS at 30-day, 6-month, and 1-year follow-ups, with no significant differences in operative duration, postoperative pain, or length of hospital stay. TFHS also demonstrates a trend towards lower rates of overdrainage and is associated with reduced costs for shunt placement and revision compared to VPS.
NEUROSURGICAL REVIEW
(2023)
Article
Pediatrics
Glenn M. C. Froeschle, Johanna Hagens, Philip Mannweiler, Friederike Sophie Groth, Gertrud Kammler, Konrad Reinshagen, Christian Tomuschat
Summary: The aim of this study was to explore the management of appendicitis and ventriculoperitoneal shunt (VPS) in a major pediatric surgery department in Germany. The study retrospectively analyzed the medical records of patients with VPS and acute abdomen between 2012 and 2022. Patients were divided into two groups (appendicitis and primary peritonitis) and their diagnostics, operative approach, complications, culture results, and antibiotic treatment were examined. A total of 17 patients were included, with 7 in the appendicitis group and 10 in the primary peritonitis group. The study found that patients in the appendicitis group were typically younger, sicker, and more likely to have neurological symptoms. All appendicitis patients had their VPS exteriorized and a new shunt system reimplanted after 20 days. The study suggests that aggressive surgical care and the change of the entire shunt system should be administered to patients with acute abdomen and VPS.
Article
Clinical Neurology
M. Uberti, A. Mostofi, A. Nitkunan, J. Kimber, E. A. C. Pereira
Summary: Idiopathic intracranial hypertension presents with headaches and visual loss, treatment options include medication, lumbar punctures, or CSF diversion. Oxytetracycline can cause acute drug-induced intracranial hypertension, requiring timely intervention.
Article
Clinical Neurology
Ying Zhang, Ping Li, Jifeng Zhang, Chunyang Li, Peng Sun, Fujun Li, Zhuomin Jiao
Summary: This report describes a case of severe parkinsonism and akinetic mutism after ventriculo-peritoneal shunt. F-18-FDG-PET showed cortical and subcortical hypometabolism, which significantly improved with levodopa treatment. This supports the hypothesis that dopamine deficiency inhibits brain metabolism and further elucidates the pathogenesis of parkinsonism and akinetic mutism.
FRONTIERS IN NEUROLOGY
(2023)
Article
Pathology
Tala Mujahed, Henry D. Tazelaar, William R. Sukov, Kevin C. Halling, Jaime I. Davila, Carolyn Glass, Elizabeth N. Pavlisko, Kyle C. Strickland, Victor Roggli, Monira Haque, Wadad Mneimneh, Elliot Carter, Francoise Galateau-Salle, David Glidden, Richard Garcia-Kennedy, Brandon T. Larsen
Summary: Some patients with long-standing indwelling shunt catheters developed malignant peritoneal mesothelioma, suggesting a potential association. Although rare, mesothelioma should be considered in patients with shunts who present with new ascites.
AMERICAN JOURNAL OF SURGICAL PATHOLOGY
(2021)
Article
Clinical Neurology
Benjamin Fernandez, Antoine Gautier, Izoudine B. Koumare, Jean Michel Fabre, Philippe Coubes, Gaetan Poulen
Summary: This case report presents a detailed account of transcutaneous ventriculo-peritoneal (VP) shunt extrusion and silent bowel perforation occurring 2 years after digestive surgery. The case demonstrates that despite complications, with appropriate treatment and follow-up, the prognosis for the patient remains favorable.
BRITISH JOURNAL OF NEUROSURGERY
(2022)
Review
Medicine, General & Internal
Roopa Chalasani, Mastiyage R. Goonathilake, Sara Waqar, Sheeba George, Wilford Jean-Baptiste, Amina Yusuf Ali, Bithaiah Inyang, Feeba Sam Koshy, Kitty George, Prakar Poudel, Lubna Mohammed
Summary: The objective of this study is to analyze the safety and efficiency of surgical interventions (VPS and ETV) in patients with hydrocephalus due to tuberculous meningitis. A systematic review of 16 studies including 2207 patients was conducted. The overall success rate and complications rate varied in both VPS and ETV groups. ETV is suggested for patients in the chronic phase of illness, while VPS is recommended for patients in the acute phase. Chemotherapy, anti-tubercular treatment, and steroids are important preparatory measures for ETV in patients with TBM hydrocephalus.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Neurosciences
Abhilasha Tripathi, Ravindra Singh Thakur, Jayantee Kalita, Devendra Kumar Patel, Usha K. Misra
Summary: This study found that in TBM patients, those with CSW had significantly higher levels of catecholamines, especially norepinephrine. Sequential studies revealed that dopamine and epinephrine increased at the time of hyponatremia and declined on its correction. The severity of TBM was related to dopamine levels, while the severity of CSW was related to epinephrine levels.
NEUROSCIENCE LETTERS
(2021)