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16 models of valves, currently in use in the U.K., have been tested long-term in the U.

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Posture-related overdrainage: comparison of the performance of 10 hydrocephalus shunts in vitro.

Neurosurgery

February 1998

United Kingdom Shunt Evaluation Laboratory, Academic Neurosurgical Unit, Addenbrooke's Hospital, Cambridge, England.

Objective: Approximately 10 to 30% of shunt revisions may be attributed to posture-related overdrainage. The susceptibility of various hydrocephalus shunts to overdrainage of cerebrospinal fluid requires independent laboratory evaluation.

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We describe a case of intracranial hypotension syndrome due to overdrainage of cerebrospinal fluid presented with hearing loss after ventriculoperitoneal shunting procedure. A 69-year-old man suffering from subarachnoid hemorrhage presented with an angiogram showing two aneurysms, one of the right internal carotid and one of the middle cerebral artery. Neck clipping was performed.

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Antisiphon device (ASD) tear was found in nine patients who underwent ventriculoperitoneal (VP) shunt revision of a Pudenz three-piece system. In six cases this was the only finding, in three, there was an associated distal malfunction. Repair of ASD tear constituted 27% of our shunt revision procedures.

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