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Infection is a common complication that normally affects pediatric patients because they have not yet built up immunities to a number of different diseases. Normally, the incidence of infection decreases as the patient grows older and the body gains immunity to various infectious agents. [10] Shunt infection can occur in up to 27% of patients.
Shunt surgery was introduced in 1949; initially, ventriculoperitoneal shunts were used. In 1971, good results were reported with lumboperitoneal shunting. Negative reports on shunting in the 1980s led to a brief period (1988–1993) during which optic nerve fenestration (which had initially been described in an unrelated condition in 1871) was ...
Each of the types of shunts listed above can be composed of a tube or catheter and various types of valves, although they can just be composed of the tubing or catheter. Below is a list of valves that are used in lumbar–peritoneal shunts (LP shunts) and Cerebral shunts (for a more detailed list of the types of valves see type of valves): Delta
The EVD is a foreign body inserted into the brain, and as such it represents a potential portal for serious infection. Historically, the rate of infections associated with EVDs has been very high, ranging from 5% to > 20%. [10] [11] Infections associated with EVDs can progress to become a severe form of brain infection known as ventriculitis.
Several complications can occur as a result of sCSFLS including decreased cranial pressure, brain herniation, infection, blood pressure problems, transient paralysis, and coma. The primary and most serious complication of a spontaneous cerebrospinal fluid leak is spontaneous intracranial hypotension , where pressure in the brain is severely ...
Other complications include wound complications, epidural hemorrhages, subdural hemorrhages, intraparenchymal hemorrhages, intracranial abscesses, meningitis, ventriculitis and venous thrombosis. [7] Additional epilepsy surgery following hemispherectomy is rare (4.5%), [ 7 ] but may be recommended if there is a residual connection between the ...
Brain abscess; Brain abscess in a person with a CSF shunt. The abscess is the darker gray region in the lower left of the image (corresponding to the right parietal lobe). The lateral ventricles are visible in black in the center of the brain, adjacent to the abscess. [1] Specialty: Neurology, infectious diseases
Grades I and II are most common, and often there are no further complications. Grades III and IV are the most serious and may result in long-term brain injury to the infant. After a grade III or IV IVH, blood clots may form which can block the flow of cerebrospinal flud, leading to increased fluid in the brain (hydrocephalus).