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- Title
The ventriculo-cholecystic shunt: does CSF volume matter?
- Authors
Henderson, Duncan; Budu, Alexandru; Horridge, Michelle; Jesurasa, Anthony; Sinha, Saurabh; Ushewokunze, Shungu; Fisher, Ross
- Abstract
Introduction: The management of hydrocephalus in paediatric patients where the peritoneum has failed can be challenging. One option is to perform a ventriculo-cholecystic shunt. However, little is known about the capacity of the gall bladder to accommodate cerebrospinal fluid (CSF). Methods: A retrospective case series was performed to include all paediatric patients who received a ventriculo-cholecystic shunt at a single centre, Sheffield Children's Hospital. Results: We identified three patients who had a ventriculo-cholecystic shunt inserted. The shunt survived past 1 year in two patients, who had pre-operative external ventricular drain (EVD) outputs of 8 and 10 ml/h respectively. One patient shunt failed at day four post-op due to distal dysfunction, his pre-operative EVD was over 30 ml/h. Conclusions: When considering a patient for a ventriculo-cholecystic shunt, caution should be taken if a high CSF output is known, for example, as per an EVD measurement.
- Subjects
CHILDREN'S hospitals; CEREBROSPINAL fluid
- Publication
Child's Nervous System, 2019, Vol 35, Issue 9, p1557
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-019-04317-7