Lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus
Objective: To assess the effectiveness and safety of lumboperitoneal shunt for treatment of post-traumatic hydrocephalus (PTH). Methods: A retrospective analysis of medical records of patients with lumboperitoneal shunts admitted in Shanghai Tenth People's Hospital from January 2014 to March 20...
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Wolters Kluwer Medknow Publications
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ftdoajarticles:oai:doaj.org/article:ff32fc7d260045e4b60df741b60f5f02 2023-05-15T15:11:51+02:00 Lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus Fu-Mei Chen Ke Wang Liang Gao Xu-Dong Yao 2018-01-01T00:00:00Z https://doi.org/10.4103/1995-7645.225026 https://doaj.org/article/ff32fc7d260045e4b60df741b60f5f02 EN eng Wolters Kluwer Medknow Publications http://www.apjtm.org/article.asp?issn=1995-7645;year=2018;volume=11;issue=2;spage=162;epage=165;aulast=Chen https://doaj.org/toc/2352-4146 2352-4146 doi:10.4103/1995-7645.225026 https://doaj.org/article/ff32fc7d260045e4b60df741b60f5f02 Asian Pacific Journal of Tropical Medicine, Vol 11, Iss 2, Pp 162-165 (2018) post-traumatic hydrocephalus traumatic brain injury lumboperitoneal shunt Arctic medicine. Tropical medicine RC955-962 article 2018 ftdoajarticles https://doi.org/10.4103/1995-7645.225026 2022-12-31T03:25:37Z Objective: To assess the effectiveness and safety of lumboperitoneal shunt for treatment of post-traumatic hydrocephalus (PTH). Methods: A retrospective analysis of medical records of patients with lumboperitoneal shunts admitted in Shanghai Tenth People's Hospital from January 2014 to March 2017 was done. Experience with lumboperitoneal shunt placement for PTH was reviewed. The diagnosis of PTH was based on ventricular enlargement with the Evans’ index (EI>0.3) before shunt implantation. Patients were evaluated for improvements in Glasgow Coma Scale (GCS), Glasgow Outcome Scale (GOS), and EI after shunt placement. Results: Totally, the study included 34 PTH patients with the average age of 49.32 years (range: 9-67 years). The average follow-up period was (3.9±3.5) months. Before lumboperitoneal shunt, the GOS score was (4±1), the GCS score was (8.53±3.38), and the EI score was (0.40±0.08). After shunt implantation, the GOS score was (3±1), the GCS score was (10.29±3.15), and the EI score was (0.34±0.13), respectively (P<0.05). Before lumboperitoneal shunt, 24 (70.58%) patients had a GOS score of 4 (vegetative state), and 10 (29.42%) patients had a GOS score of 3 (severe disabled). After lumboperitoneal shunt, 18 (52.94%) patients had improvement in GOS (11 patients improve from GOS 4 to GOS 3, 5 patients from GOS 3 to GOS 2 and 2 patients from GOS 3 to GOS 1), 22 (64.71%) patients achieved improvement in their GCS (14 patients GCS improvements >2 and 8 patients GCS improvement=1), 21 (61.76%) patients had EI improvement (18 patients with EI<0.3). There was no complication in this study. Conclusion: Lumboperitoneal shunt placement is safe and effective for PTH, and serious complications are not observed. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Asian Pacific Journal of Tropical Medicine 11 2 162 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
post-traumatic hydrocephalus traumatic brain injury lumboperitoneal shunt Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
post-traumatic hydrocephalus traumatic brain injury lumboperitoneal shunt Arctic medicine. Tropical medicine RC955-962 Fu-Mei Chen Ke Wang Liang Gao Xu-Dong Yao Lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus |
topic_facet |
post-traumatic hydrocephalus traumatic brain injury lumboperitoneal shunt Arctic medicine. Tropical medicine RC955-962 |
description |
Objective: To assess the effectiveness and safety of lumboperitoneal shunt for treatment of post-traumatic hydrocephalus (PTH). Methods: A retrospective analysis of medical records of patients with lumboperitoneal shunts admitted in Shanghai Tenth People's Hospital from January 2014 to March 2017 was done. Experience with lumboperitoneal shunt placement for PTH was reviewed. The diagnosis of PTH was based on ventricular enlargement with the Evans’ index (EI>0.3) before shunt implantation. Patients were evaluated for improvements in Glasgow Coma Scale (GCS), Glasgow Outcome Scale (GOS), and EI after shunt placement. Results: Totally, the study included 34 PTH patients with the average age of 49.32 years (range: 9-67 years). The average follow-up period was (3.9±3.5) months. Before lumboperitoneal shunt, the GOS score was (4±1), the GCS score was (8.53±3.38), and the EI score was (0.40±0.08). After shunt implantation, the GOS score was (3±1), the GCS score was (10.29±3.15), and the EI score was (0.34±0.13), respectively (P<0.05). Before lumboperitoneal shunt, 24 (70.58%) patients had a GOS score of 4 (vegetative state), and 10 (29.42%) patients had a GOS score of 3 (severe disabled). After lumboperitoneal shunt, 18 (52.94%) patients had improvement in GOS (11 patients improve from GOS 4 to GOS 3, 5 patients from GOS 3 to GOS 2 and 2 patients from GOS 3 to GOS 1), 22 (64.71%) patients achieved improvement in their GCS (14 patients GCS improvements >2 and 8 patients GCS improvement=1), 21 (61.76%) patients had EI improvement (18 patients with EI<0.3). There was no complication in this study. Conclusion: Lumboperitoneal shunt placement is safe and effective for PTH, and serious complications are not observed. |
format |
Article in Journal/Newspaper |
author |
Fu-Mei Chen Ke Wang Liang Gao Xu-Dong Yao |
author_facet |
Fu-Mei Chen Ke Wang Liang Gao Xu-Dong Yao |
author_sort |
Fu-Mei Chen |
title |
Lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus |
title_short |
Lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus |
title_full |
Lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus |
title_fullStr |
Lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus |
title_full_unstemmed |
Lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus |
title_sort |
lumboperitoneal shunts for the treatment of post-traumatic hydrocephalus |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2018 |
url |
https://doi.org/10.4103/1995-7645.225026 https://doaj.org/article/ff32fc7d260045e4b60df741b60f5f02 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Asian Pacific Journal of Tropical Medicine, Vol 11, Iss 2, Pp 162-165 (2018) |
op_relation |
http://www.apjtm.org/article.asp?issn=1995-7645;year=2018;volume=11;issue=2;spage=162;epage=165;aulast=Chen https://doaj.org/toc/2352-4146 2352-4146 doi:10.4103/1995-7645.225026 https://doaj.org/article/ff32fc7d260045e4b60df741b60f5f02 |
op_doi |
https://doi.org/10.4103/1995-7645.225026 |
container_title |
Asian Pacific Journal of Tropical Medicine |
container_volume |
11 |
container_issue |
2 |
container_start_page |
162 |
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1766342628135141376 |