التفاصيل البيبلوغرافية
| العنوان: |
Role of Lumboperitoneal Shunt in CSF Diversion: Outcome in Common Indications and Beyond. |
| المؤلفون: |
Aryal, Sameer1 dr.sameeraryal@gmail.com, Shrestha, Ramchandra1, Deo, Alok1, Sharma, Gopal Raman1 |
| المصدر: |
Nepal Journal of Neuroscience. 2022, Vol. 19 Issue 1, p52-55. 4p. |
| مصطلحات موضوعية: |
*CEREBROSPINAL fluid shunts, *INTRACRANIAL hypertension, *SKULL fractures, *CEREBROSPINAL fluid, *HYDROCEPHALUS |
| مستخلص: |
Introduction: A Lumboperitoneal shunt is a procedure of diverting Cerebrospinal Fluid from the lumbar thecal sac to peritoneum. Common indications are Benign Intracranial Hypertension (BIH), Normal Pressure Hydrocephalus (NPH), recurrent CSF fistulas, growing skull fractures etc. It has been often used as a last resort in patients with communicating hydrocephalus who underwent multiple failed ventriculostomy procedures. We present our study of 14 cases of LP shunting done for common indications, we retrospectively analyzed the clinical data of these cases and present our outcome. Materials & Methods: Retrospective Study (June 2015-January 2020). Non Randomized Consecutive Sampling method was used. Total 14 cases who fulfilled the inclusion criteria were included in the study. Inclusion criteria was all the patients who underwent LP Shunt in our centre with minimum of 1 month follow up period. Exclusion criteria included patients with inadequate follow up period (1 months) and patients who couldn't be contacted for further information. Results: A total of 14 cases (6 males and 8 females) were operated from June 2015 to January 2020.Majority of the cases 64.3% (n= 9) were BIH, 21.4% (n=3) were cases of NPH and 14.3% (n=2) were cases of communicating hydrocephalus. One case presented with repeat of symptoms after initial improvement and underwent shunt revision. Blockage of thecal catheter due to kinking was found postoperatively. One patient had features of csf over drainage and had to undergo ligation of the distal end. Symptomatic improvement was seen in all cases. Conclusion: These results show that Lumboperitoneal Shunt is an excellent option in cerebrospinal fluid diversion whenever indicated. It carries low risk and has good outcome. [ABSTRACT FROM AUTHOR] |
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