Volume 1 Supplement 1

48th Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida

Open Access

VP shunts – what is the commonest complication?

Cerebrospinal Fluid Research20041(Suppl 1):S25

DOI: 10.1186/1743-8454-1-S1-S25

Published: 23 December 2004

Whilst a VP shunt is an effective way of draining CSF in hydrocephalus, complications are still a significant problem. We retrospectively analysed charts of 94 children between the years 1993 and 2003 to estimate the common complications. The commonest complication was shunt blockage (30%). This was followed by shunt fractures (4.2%). Infection was 2.2%. When a shunt malfunctions due to blockage, the commonest area of blockage was within the intraventricular component (90%). Most children who presented with shunt blockage needed more than one revision. Overall 44 revisions were carried out in 23 children. Protein levels of CSF did not correlate with frequency of blockage. In an endeavour to establish whether shunt blockage is related to intraventricular catheter position, an analysis is made of the available images. Furthermore, the recent literature in relation to shunt blockage is also reviewed. There were no shunt fractures below the age of three years, and the routine policy of doing an X-ray shunt series should be discouraged in children less than 2 years old with unitised shunts.

Authors’ Affiliations

(1)

Copyright

© The Author(s) 2004

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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