• Users Online: 30
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2020  |  Volume : 9  |  Issue : 1  |  Page : 33-37

An analysis of outcome of pediatric hydrocephalus: A 10-year study from Central India


Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Roshan Chanchlani
Department of Pediatric Surgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpai.jpai_9_20

Rights and Permissions

Introduction: Ventriculoperitoneal (VP) shunt is an easy and inexpensive procedure done for the management of hydrocephalus all over the world. However, it is associated with several complications and morbidity. Objectives: The objective of this study was to assess the outcome of children having hydrocephalus who underwent VP shunt. Methods: In this retrospective study, records of 196 children who were operated for hydrocephalus by a single surgeon were analyzed and the spectrum of complications was noted. This 10-year study was conducted from May 2010 to April 2020, and the patients were operated in various hospitals and tertiary care centers in Bhopal city, Madhya Pradesh, India. Results: Out of the 196 patients, 120 were boys and 76 were girls. In this series, 130 (66.3%) patients were <1 year of age. The median age was 20.7 months (range 1.4 months to 9.5 years). Aqueductal stenosis (35.7%) was the most common congenital and tubercular meningitis (16.3%) was the most common acquired cause of hydrocephalus. Vomiting (18.4%) was the most common symptom and enlargement of the head (40.8%) was the most common sign. Common indications for shunt revision were shunt obstruction (10.2%) and shunt infection (6.6%). In this study, most of the shunt failures (20, 47.61%) were seen within 3 months of surgery. Mortality in this series was 12.8%.Conclusions: Of the 196 children who underwent VP shunt for hydrocephalus over a period of 10 years, 12.8% died, 10.2% had shunt obstruction, and 6.6% had shunt infection. Complications of shunt procedures adversely affect the final surgical outcome. Cerebrospinal fluid shunting features a propensity for mechanical failure, and patients with VP shunts should receive regular follow-up through the transition to adulthood.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed64    
    Printed2    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal