Role of shunts with antisiphon device in treatment of pediatric hydrocephalus

Clinical Neurology and Neurosurgery
Rizwan A KhanAkshay K Saxena

Abstract

The use of ventriculo-peritoneal shunts having antisiphon device has been reported in adult patients, but there is a dearth of experience with such shunts in pediatric age group. This study is being undertaken to compare the effectiveness of these types of shunt for the treatment of congenital hydrocephalus. Forty patients with congenital hydrocephalus with or without neural tube were divided randomly into two groups (A and B). Patients in antisiphon group were treated with shunts with differential valve including antisiphon device (Vygon shunt) while patients in non-antisiphon group were treated with differential valve shunts (Chhabra shunt and Ceredrain). Mann-Whitney test, asymmetric t-test and Chi-square test were used to assess the correlation and the significance. The mean age was 3.5 months and 3.4 months in antisiphon group and non-antisiphon group, respectively. The M:F ratio was 2.3:1 in antisiphon group while it was 3:1 in non-antisiphon group. The mean decrease in OFC was more in non-antisiphon group than antisiphon group during the follow up from 3 months to 6 months while mean decrease in MEI was more in non-antisiphon group from 0 month to 3 months than antisiphon group. There were two cases of shunt overdrainage...Continue Reading

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Citations

Nov 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ulrich-W ThomaleMatthias Schulz
Nov 3, 2012·Neurosurgical Focus·Judith M WongAtul A Gawande
Nov 10, 2011·Journal of Pediatric Neurosciences·N K Venkataramana
May 9, 2013·Surgical Neurology International·Barry R LutzSamuel R Browd
Jan 23, 2016·Journal of Neurosurgery. Pediatrics·Anna-Felicitas GebertUlrich-Wilhelm Thomale
May 20, 2015·Journal of Neurosurgery. Pediatrics·Lissa C BairdUNKNOWN Pediatric Hydrocephalus Systematic Review and Evidence-Based Guidelines Task Force
Nov 23, 2017·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Rachel A JosephEmily E Brady
May 29, 2018·Acta neurochirurgica·Philip Kofoed MånssonMarianne Juhler
Jun 17, 2020·The Cochrane Database of Systematic Reviews·Luis GaregnaniSantiago Adalberto Portillo Medina

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