A 38-year-old man with a ventriculoatrial shunt presented with non-specific symptoms (headache, back pain, night sweats) and inconclusive laboratory results. He showed an extremely high titre of antibody to Staphylococcus epidermidis which proved diagnostic of shunt infection. This was confirmed on shunt removal and he was successfully treated.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417023 | PMC |
http://dx.doi.org/10.1136/bcr.2012.006164 | DOI Listing |
J Neurosurg Case Lessons
December 2024
Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan.
Background: A ventriculoatrial (VA) shunt is an alternative to a ventriculoperitoneal (VP) shunt for managing hydrocephalus, especially when VP shunt insertion is not feasible. Despite its decline in use, the VA shunt remains vital for certain patients. This report highlights a rare complication of bilateral vocal cord paralysis following VA shunt insertion for hydrocephalus secondary to subarachnoid hemorrhage.
View Article and Find Full Text PDFJ Neurosurg Pediatr
November 2024
1Division of Neurosurgery, Department of Pediatric Surgery, McGill University, Montréal, Québec, Canada.
Objective: Cerebral spinal fluid (CSF) diversion methods, including ventriculoperitoneal (VP) shunts, are the standard treatment for hydrocephalus. Hair clipping (HC) has been a routine neurosurgical practice of the great majority of neurosurgeons, due to the perception that this will either decrease the risk of shunt infection or allow for a faster, unimpeded opening and closing of the skin. The benefits of not cutting or clipping hair in terms of normalizing appearance and self-esteem are obvious.
View Article and Find Full Text PDFEClinicalMedicine
November 2024
Imperial Brain and Spine Initiative, Imperial College London, London, United Kingdom.
Background: Idiopathic normal pressure hydrocephalus (iNPH) is commonly treated using cerebrospinal fluid (CSF) diversion procedures, most commonly ventriculoperitoneal (VP) but also lumboperitoneal (LP), ventriculoatrial (VA) shunting, and endoscopic third-ventriculostomy (ETV). Despite the prevalence of these interventions and recent advancements in iNPH diagnostic processes, there is limited up-to-date evidence regarding surgical outcomes.
Methods: A systematic review and meta-analysis were conducted to analyse the effects of CSF diversion surgeries among iNPH patients.
Kardiol Pol
August 2024
Department of Cardiology Intensive Therapy and Internal Medicine, Poznan University of Medical Sciences, Poznań, Poland.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!