Shunt Fractures Associated with Intermittent Hydrocephalus: Case Reviews and New Solutions

Basit Öğe Kaydı
dc.authoridKAYA, Ismail/0000-0002-4128-5845
dc.contributor.authorYakar, Huseyin
dc.contributor.authorKaya, Ismail
dc.date.accessioned2024-11-07T13:24:38Z
dc.date.available2024-11-07T13:24:38Z
dc.date.issued2022
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractOBJECTIVE: Although ventriculoperitoneal shunt surgery is the most common method for hydrocephalus treatment, it may lead to serious complications and require surgical interventions. Peritoneal catheter fracture is one of the common complications that may cause intermittent hydrocephalus. If patients with peritoneal catheter fracture have symptoms of hydrocephalus and ventricular dilatation, the treatment algorithm is clear. However, the diagnosis and treatment protocol remains unclear otherwise. In this article, the possible mechanisms of hydrocephalic symptoms, the diagnosis, as well as treatment algorithms are examined. METHODS: Eight patients with a ventriculoperitoneal shunt who had intermittent hydrocephalic symptoms due to peritoneal catheter fracture but without any radiologically significant ventricular dilatation at Nigde Omer Halisdemir University from 2018 to 2021 were collected. A new diagnostic algorithm was created. Patient follow-up was performed in each patient as a procedure. RESULTS: The method that we determined was successful in all our patients. No complications were observed. We have followed the patients with a normal clinic for at least 6 months. CONCLUSIONS: The provocation test we have formulated always revealed the true cause of the clinic. Thus, on the one hand, with a positive provocation test we recommend revision surgery without waiting for the ventricular dilatation or hydrocephalic symptoms in patients with a fractured peritoneal catheter, considering the results of asymptomatic shunt revision surgery have been reported to be better than those with symptomatic shunt dysfunction; on the other hand, patients with negative provocation tests are saved from unnecessary surgical intervention as well as benefit from true etiologic fast treatment.
dc.description.sponsorshipTurkish Neurosurgical Society
dc.description.sponsorshipPreparation for publication of this article is partly supported by the Turkish Neurosurgical Society in terms of English redaction.
dc.identifier.doi10.1016/j.wneu.2022.05.070
dc.identifier.endpageE907
dc.identifier.issn1878-8750
dc.identifier.issn1878-8769
dc.identifier.pmid35609726
dc.identifier.scopus2-s2.0-85131790487
dc.identifier.scopusqualityQ2
dc.identifier.startpageE899
dc.identifier.urihttps://doi.org/10.1016/j.wneu.2022.05.070
dc.identifier.urihttps://hdl.handle.net/11480/14232
dc.identifier.volume164
dc.identifier.wosWOS:000863280500025
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofWorld Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectIntermittent hydrocephalus
dc.subjectShunt fracture
dc.subjectVentriculoperitoneal shunt
dc.titleShunt Fractures Associated with Intermittent Hydrocephalus: Case Reviews and New Solutions
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu