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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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpai.jpai_9_20

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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.

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