We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Modified External Ventricular Drainage in Pediatric Tuberculous Meningitis: Is It Possible to Avoid Ventriculoperitoneal Shunt Placement?
- Authors
Lin, Jian; Zhang, Nu; Sheng, Hang-song; Wang, Mao-de; Yin, Bo; Lin, Fen-chun
- Abstract
Objective: Ventriculoperitoneal shunting is the current mainstay of treatment for children with tuberculous meningitis with hydrocephalus. However, ventriculoperitoneal shunting is highly associated with complications, and more importantly, long-term, indwelling shunt devices may adversely affect children's spirits and psychological health. Therefore, there is clearly a need to explore methods of CSF diversion to avoid ventriculoperitoneal shunting. Methods: We studied 6 cases of children with tuberculous meningitis with hydrocephalus in whom external drainage from the ventricle to the subcutaneous abdomen was adopted. Outcomes were assessed over a 6- to 9-month follow-up period based on improvements in radiological features, such as ventricular morphology, as well as the need for ventriculoperitoneal shunting and any complications. Results: The drainage tubes were removed in 4 cases 4-6 months after the modified external ventricular drainage surgery, and 2 patients went on to receive a ventriculoperitoneal shunt. All patients' CSF protein and cell counts returned to normal, and imaging showed improved ventricular morphology and no intracranial secondary infection. Conclusion: In our preliminary study, the modified ventricular drainage device can produce satisfactory outcomes and relatively safe effects and may help some patients to avoid ventriculoperitoneal shunt placement. Copyright © 2011 S. Karger AG, Basel
- Subjects
SURGICAL anastomosis; MENINGITIS in children; HYDROCEPHALUS in children; MORPHOLOGY; PEDIATRICS; THERAPEUTICS
- Publication
Pediatric Neurosurgery, 2011, Vol 47, Issue 2, p108
- ISSN
1016-2291
- Publication type
Article
- DOI
10.1159/000330540