Central nervous system (CNS) shunt infection is a cause of significant morbidity, causing shunt malfunction and chronic ill health. This study was carried out to evaluate the infection rate associated with CNS shunts, assess the frequency of the pathogens as well as their antibiotic sensitivity pattern aiming at suitable prophylaxis. A retrospective analysis of 226 CSF cerebrospinal fluid (CSF)...

Cerebrospinal fluid (CSF) shunt failure is commonly associated with infection or mechanical obstruction of the shunt system. A 4-year-old male child who had undergone multiple shunt revisions at another hospital for congenital hydrocephalus and later for shunt obstruction, presented with exposed shunt at the supraclavicular region. Shunt revision was performed. The CSF culture showed no growth;...

In order to minimize the duration of external cerebrospinal fluid (CSF) drainage after hemorrhagic hydrocephalus we are testing a parallel shunt system that can be implanted very early after bleeding. It should be able to tolerate a high load of protein and blood in the CSF. After clearance of the CSF, the valveless arm of the shunt is closed by a percutaneous manipulation and the valve-arm is ...

To determine ventriculoperitoneal shunt patency during routine MR imaging of the head, 23 patients were studied with T1-weighted fast-field-echo scans. Without knowledge of the results of previous MR/CT studies or of the patients' clinical history, we reviewed the fast-field-echo studies and divided them according to those judged to have shunt flow (18) and those judged not to have flow (five)....

Authors of this report describe 2 patients who had undergone shunt insertion for hydrocephalus and who, at 6 weeks or 9 months after their last revision, presented with symptoms of shunt dysfunction and CSF collections at the valve site. At the ensuing shunt revision in both patients, the silicone housing was fractured and the Siphonguard was disconnected from the Codman Hakim Precision flat-bo...

A case of cerebrospinal fluid (CSF) pseudocysts in a patient with a ventriculoperitoneal (VP) shunt is reported to describeacute unusual location of developmentof pseudocyst. In the setting of a VP shunt, the frequency of abdominal CSF pseudocyst formation is approximately 4.5%, often being precipitated by a recent inflammatory/infective process or recent surgery. Larger pseudocysts tend to be ...

OBJECT The purpose of this study was to define the incidence of permanent shunt placement and infection in patients who have undergone the 2 most commonly performed temporizing procedures for posthemorrhagic hydrocephalus (PHH) of prematurity: ventriculosubgaleal (VSG) shunt placement and ventricular reservoir placement for intermittent tapping. METHODS The 4 centers of the Hydrocephalus Clin...

We present the unique case of an 8 month old infant who required extracorporeal membrane oxygenation (ECMO) after neonatal repair of tetralogy of Fallot. While on ECMO, he developed grade 3 intraventricular hemorrhage resulting in hydrocephalus requiring ventriculoperitoneal (VP) shunt placement at 5 months of life. He presented to cardiology clinic with a 2-month history of poor weight gain, t...

To cite: Thurlow PC, Somerville C, Rusnak WJ, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201303 DESCRIPTION An asymptomatic middle-aged man presented for routine preoperative chest radiographs prior to the resection of a Masson’s tumour of the frontal sinus. The chest radiographs revealed a large anterior mediastinal mass (figure 1). A CTscan of th...

OBJECTIVES/HYPOTHESIS Hearing loss can be associated with a decrease in cerebrospinal fluid (CSF) pressure because changes in CSF pressure induce changes in perilymph pressure. Hearing loss after neurosurgical procedures have been reported, but clinical information on hearing loss after the placement of ventriculoperitoneal (VP) shunts, the most commonly used CSF shunt for hydrocephalus patient...