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  • 1
    Electronic Resource
    Electronic Resource
    Complications of subduroperitoneal shunting (2000)
    Springer
    Child's nervous system 16 (2000), S. 433-436 
    Details
    ISSN: 1433-0350
    Keywords: Keywords Child ; Complication ; Computed tomography ; Infant ; Subdural fluid collection ; Subduroperitoneal shunt
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Objects: Subduroperitoneal (SP) shunts have been widely used in the management of pediatric subdural fluid collections. Methods: We retrospectively reviewed the complications of SP shunting in 73 boys and 24 girls, who ranged in age from 1 to 180 months (median 7 months). Subdural fluid collection was bilateral in 75 and unilateral in 22 patients. The most common complication was shunt obstruction (13 patients). Shunt migration was seen in 8 patients. Migration occurred only with unishunts without a reservoir and with peritoneal catheters. However, the shunts with a reservoir or flushing valve led to skin necrosis in 4 patients (P=0.003). Unilateral drainage though bilateral collections were present, infection, bowel perforation, and ileus occurred in 5, 4, 1 and 1 patients respectively. Conclusions: These SP shunt complications, some of which are avoidable, should be kept in mind.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00007288
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Immunoglobulin prophylaxis in shunt infections: a prospective randomized study (1997)
    Springer
    Child's nervous system 13 (1997), S. 546-549 
    Details
    ISSN: 1433-0350
    Keywords: Key words Cerebrospinal fluid shunt ; Hydrocephalus ; Immunoglobulin ; Infant ; Infection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cerebrospinal fluid shunt infection is serious and one of the most frequent complications of shunt implantation. Age has been one of the most significant host factors for the development of shunt infections. A relative deficiency of the immune response against bacteria in infants could partly explain the higher infection rate in the very young patients. This prospective-randomized study was conducted in two groups: group A (immunoglobulin group) and group B (control group). There were 30 patients in each group. The patients in group A received intravenous immunoglobulin (Sandoglobulin®) at a dose of 1 g/kg in the night before surgery. Each patient was followed up to 6 months. No infection was seen in group A. In group B, infection rate per procedure and infection rate per patient were 5.1% (P=0.494) and 6.6% (P=0.492), respectively. Intravenous immunoglobulin prophylaxis in infants seems to reduce the shunt infections.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050135
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Continuous external subdural drainage in the management of infantile subdural collections: a prospective study (1997)
    Springer
    Child's nervous system 13 (1997), S. 526-529 
    Details
    ISSN: 1433-0350
    Keywords: Key words Continuous external subdural drainage ; Infant ; Subdural hematoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Continuous external subdural drainage (CESD) was suggested as a treatment step to be inserted prior to SP shunting, primarily because it makes it possible to avoid shunt placement in a significant number of patients. Thirty-three patients with symptomatic chronic subdural collection confirmed by computed tomography were included in this study. Unilateral CESD was performed in all cases, using a lumbar drainage set. The drains were left in place for no more than 10 days. A subduroperitoneal (SP) shunt was inserted in those patients in whom re-accumulation of the subdural collection had occurred. Of 33 patients, 17 were definitively treated by CESD and 16 subsequently needed an SP shunt. The cost of treatment with CESD was just less than half the cost of treatment with SP shunting. CESD can be used as a step before SP shunting in the management of chronic infantile subdural collections, since it is effective without further treatment in half the patients and safer than subdural tapping.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003810050131
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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