Third Ventriculostomy for Shunt Infections in Children
| Autor: | T. M. Sands, Warwick Stening, Robert Jones, Bernard Kwok |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Male
Reoperation Ventriculostomy medicine.medical_specialty Intracranial Pressure medicine.drug_class medicine.medical_treatment Antibiotics Ventriculoperitoneal Shunt Postoperative Complications Cerebrospinal fluid medicine Humans Surgical Wound Infection Derivation Child medicine.diagnostic_test business.industry medicine.disease Cerebrospinal Fluid Shunts Surgery Endoscopy Hydrocephalus Child Preschool Anesthesia Female Neurology (clinical) Tomography X-Ray Computed business Complication Shunt (electrical) Follow-Up Studies |
| Zdroj: | Neurosurgery. 32:855-860 |
| ISSN: | 1524-4040 0148-396X |
| DOI: | 10.1227/00006123-199305000-00024 |
| Popis: | Four children with extracranial shunts for noncommunicating hydrocephalus suffered from recurrent or intractable shunt infections. All patients were resistant to or relapsed after treatment with intravenous and intrathecal antibiotics with change of the shunt apparatus. They were treated with neuroendoscopic third ventriculostomy and the removal of all implants, except for a reservoir in one patient. That child later had the reservoir removed because of persistent proteus infection. All patients received antibiotics for approximately 2 weeks after the operation. There was no morbidity associated with the procedure, and all patients remain shunt independent with follow-up periods of 21 to 46 months (mean, 33 mo), although one has needed another third ventriculostomy. We have shown that third ventriculostomy is a successful surgical intervention for the management of shunt infections in patients with noncommunicating hydrocephalus. |
| Databáze: | OpenAIRE |
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