Introducción. La derivación ventriculoatrial y la ventriculopleural (DVP) son métodos alternativos a la derivación ventriculoperitoneal para el drenaje del líquido. ¿Cuáles son las posibles complicaciones de un sistema de derivación? Aunque la hidrocefalia se conocía antiguamente como “agua en el cerebro”, el “ agua” un pequeño conducto entre el tercero y cuarto ventrículo en la mitad del cerebro. catéter se coloca normalmente dentro de la cavidad peritoneal ( abdominal). Derivação ventriculoperitoneal com válvula no tratamento da hidrocefalia infantil . O. — Derivación Ventriculo-atrial para el Tratamiento de la Hidrocefalia por.
|Published (Last):||7 June 2012|
|PDF File Size:||10.53 Mb|
|ePub File Size:||20.92 Mb|
|Price:||Free* [*Free Regsitration Required]|
The aim of this study was to analyze outcome after VPS in eight patients in whom we used the new valves for avoiding overdrainage of cerebrospinal fluid. Introduction Shunting of CSF constitutes the most frequent form of treatment for hydrocephalus.
We briefly discuss the proposed mechanism for this complication and suggest that this occurrence must be taken into account at the time of evaluating a patient ventricluo shunt malfunction. Neurosurg Rev ; Observations on ventricular and lumbar subarachnoid peritoneal shunts in hydrocephalic patients.
There was a problem providing the content you requested
J Pediatr Surg, 27pp. Valves newly designed to prevent overdrainage of cerebrospinal fluid give satisfactory results, such that VPS should be considered as an alternative to peritoneal drainage. Results After a follow-up period of 22 months all shunts were functioning well and the only patient with symptoms of hydrocephalus was the one who required valve replacement at six months.
Hidroceflaia and ventriculopleural shunts VPS are alternatives to ventriculoperitoneal shunts for draining cerebrospinal fluid from patients with hydrocephalus.
Infección de la derivación ventrículo-peritoneal en recién nacidos con hidrocefalia
Migration of ventriculo-peritoneal shunt into the lateral ventricle of an adult. Hospital Universitario Virgen de la Arrixaca.
Cerebrospinal fluid galactorrhea after ventriculopleural shunting: Conclusions Valves newly designed to prevent overdrainage of cerebrospinal fluid give satisfactory results, such that VPS should be considered as an alternative to peritoneal drainage. Sub-galeal coiling of the proximal and distal components of a ventriculo-peritoneal shunt.
Evaluation of the ventriculo-peritoneal shunt with valve in the treatment of hydrocephalus
Material and Method Nine VPS procedures were performed in eight hydrocephalic patients between and From December to November, 95 hydrocephalic infants have been operated upon using ventriculoperitoneal shunt with valve 88 cases with a Spitz-Holter valve, 6 cases with a Hakim valve and one case with a Pudenz-Heyer valve.
Neurosurgery, hidrocevaliapp. Arch Dis Child, 84pp.
There were no subcutaneous collections of fluid. This statement is made comparing two groups of hydrocephalic infants submitted to surgery at the same Service and in the same conditions, with the same follow-up period; 4 the cases peritneal permit to state that at present time the ventriculoperitoneal shunt with valve is the most suitable surgical procedure for hydrocephalus.
Case report A year-old man was seen at the Outpatient Clinic for routine review of myelomeningocele hydrocephalus after having moved to our city.
Besides, infections involving the draining system are less severe and more easily controlled than those occurring in the ventriculoatrial shunts. Pseudocysts of the abdomen associated with ventriculoperitoneal shunts: Symptomatic pleural collection of cerebrospinal fluid caused by a ventriculoperitoneal shunt.
From this place downwards the shunt tubing could not be palpated. We propose that the mechanism to explain the upward tube displacement is due to the abrupt release of the anchoring point formed by the abdominal scar around the catheter that is suddenly stretched, in this way the tube exits the abdominal cavity being unable to return to it 8.
Complicaciones de las derivaciones de LCR. Retrograde migration of hidrocefaila abdominal catheters as a complication of ventriculoperitoneal shunts: The externally adjustable Sophy valve was used in six cases. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.
CSF pouring through the shunt, that continues functioning, further eases the tube upward movement.
Apparently, Scott et al. Abdominal cerebrospinal fluid pseudocysts: Five cases trested with Methicilin. Complete migration of peritoneal shunt tubing to the scalp. Br J Neurosurg, 15pp. Childs Nery Syst ; The death of one patient 36 months after surgery was unrelated to pleural drainage.
Complications related to shunt use are commonly classified as infectious, mechanical or functional. Ventriculopleural shunting in the management of hydrocephalus. How effective are ventriculopleural shunts?. J Pediatr, veentriculopp. Migration and extrusion of distal catheters have been reported through several organs and body orifices or through the cervical or abdominal wounds.
Report of three cases. He was warned about this possibility arising in venhriculo future. Intraventricular pressure dynamics in patients with ventriculopleural shunts: Hydrocephalus-clinical features and management. J Neurosurg ; The diagnosis of this complication is easily accomplished by palpation of the integrity of the drainage system and may be confirmed by shunt radiographs.
The indication for VPS was peritoneal adhesions in four cases, persistent ascites in two, derigacion valve obstruction in one, vsntriculo infection of the peritoneal shunt peritonitis in one. Although rarely, all components of the shunt systems reservoir, valve venrriculo ventricular or distal catheters may be displaced from their original position and migrate to diverse parts of the body Continuing navigation will be considered as acceptance of this use.
We suggest that, given the multiplicity of CSF drainage systems, the possibility of shunt migration should be borne in mind in the differential diagnosis of patients presenting with symptoms and signs of shunt malfunction.