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
Ophthalmology
Anup Kelgaonkar, Vishal Govindhari, Ashish Khalsa, Soumyava Basu
Summary: The study compared the time to resolution of perivascular infiltrates in tubercular retinal vasculitis (TRV) between anti-tubercular therapy (ATT) alone and in combination with systemic corticosteroids. The results showed that ATT alone may be sufficient for resolution of perivascular infiltrates in TRV without additional inflammatory signs.
Article
Medicine, General & Internal
Shijun Hu, Tao Liu, Shixiong Huang, Hui Liang
Summary: This article reports and discusses a case of cryptococcal meningitis treated with inadequate medical therapy and placement of a ventriculoperitoneal shunt. The patient survived for more than 10 years under these treatments.
FRONTIERS IN MEDICINE
(2022)
Article
Clinical Neurology
Basil Enicker, Colleen Aldous
Summary: This study is the largest series reporting on CSF shunting of hydrocephalus and increased intracranial pressure in children with human immunodeficiency viruserelated cryptococcal meningitis. Treatment with ventriculoperitoneal shunt and lumboperitoneal shunt regardless of the CD4 count is an important option in suitable children to reduce mortality.
WORLD NEUROSURGERY
(2022)
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)
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
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
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)
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
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
Multidisciplinary Sciences
Paola Mariela Saba Villarroel, Maria del Rosario Castro Soto, Oriana Melendres Flores, Alejandro Peralta Landivar, Maria E. Calderon, Roxana Loayza, Jose Boucraut, Laurence Thirion, Audrey Dubot-Peres, Laetitia Ninove, Xavier de Lamballerie
Summary: Central nervous system infections in Bolivia have high mortality rates, with common pathogens including Cryptococcus and Mycobacterium tuberculosis, especially affecting HIV-positive patients. Treatment and prevention should focus on factors such as thrombocytopenia and hydrocephalus.
SCIENTIFIC REPORTS
(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)
Article
Clinical Neurology
Neha Choudhary, Sameer Vyas, Manish Modi, Shashank Raj, Ajay Kumar, Naveen Sankhyan, Renu Suthar, Arushi Gahlot Saini, Manoj Kumar Goyal, Chirag Kamal Ahuja, Paramjeet Singh
Summary: Tubercular vasculitis can be detected by VWI in the form of nodular or smooth segmental enhancement of vessel wall with or without stenosis. Incorporation of VWI in routine MR imaging can play a greater role in early detection and management of cerebrovascular complications which can help to improve prognosis of the disease.