Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Neonatal ventriculosubgaleal shunts.

B B Fulmer1, P A Grabb, W J Oakes

  • 1Division of Neurosurgery, University of Alabama-Birmingham, USA.

Neurosurgery
|August 5, 2000
PubMed
Summary

Ventriculosubgaleal (VSG) shunts provide a safe temporary solution for hydrocephalus in neonates when other methods are unsuitable. While effective, most infants eventually require a permanent ventriculoperitoneal shunt.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Intraluminal septation of the basilar artery: incidence and potential clinical significance.

Folia morphologica·2008
Same author

The venous circle of Trolard.

Bratislavske lekarske listy·2008
Same author

Aortic bifurcation angle as an independent risk factor for aortoiliac occlusive disease.

Folia morphologica·2007
Same author

Accessory venous sinus of Hyrtl.

Folia morphologica·2007
Same author

An unusual muscular variation of the infratemporal fossa.

Folia morphologica·2007
Same author

A complex dural-venous variation in the posterior cranial fossa: a triplicate falx cerebelli and an aberrant venous sinus.

Folia morphologica·2007

Area of Science:

  • Pediatric Neurosurgery
  • Neonatal Care
  • Hydrocephalus Management

Background:

  • Hydrocephalus in neonates presents complex management challenges.
  • Ventriculoperitoneal shunts are standard but not always immediately feasible.
  • Alternative temporary CSF diversion methods are crucial for unstable infants.

Purpose of the Study:

  • To evaluate the survival rates and complications of ventriculosubgaleal (VSG) shunts.
  • To assess the efficacy of VSG shunts as a temporizing measure in neonates.
  • To determine the long-term outcomes for infants treated with VSG shunts.

Main Methods:

  • Retrospective analysis of 37 ventriculosubgaleal (VSG) shunts placed in 32 neonates between 1993 and 1997.
  • VSG shunts were used when cerebrospinal fluid (CSF) or abdominal conditions precluded ventriculoperitoneal shunt placement.

Related Experiment Videos

  • Shunts involved a ventricular catheter connected to a subgaleal pocket.

    • Main Results:

    • The average VSG shunt survival was 35.1 days, with no infections.
    • Complications included CSF leakage, catheter displacement, and one immediate post-revision death.
    • All 24 surviving infants followed for 4 months required a subsequent ventriculoperitoneal shunt.

    Conclusions:

    • Ventriculosubgaleal (VSG) shunts are a simple, effective, and relatively safe temporary option for neonatal hydrocephalus.
    • VSG shunts avoid external drainage or aspiration in medically unstable infants.
    • They serve as a bridge until conditions are suitable for ventriculoperitoneal shunting.