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

Lumboperitoneal shunts in children.

Harold L Rekate1, Donna Wallace

  • 1Division of Pediatric Neurosurgery, Barrow Neurological Institute, 2910 N Third Avenue, Phoenix, AZ 85013, USA. Harold.rekate@bnaneuro.net

Pediatric Neurosurgery
|December 12, 2002
PubMed
Summary

Lumboperitoneal (LP) shunts effectively treated cerebrospinal fluid absorption abnormalities in children. This study found LP shunts safe for specific pediatric neurosurgical indications, with no hindbrain herniation complications.

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

Intracranial Hypertension with Patent Basal Cisterns: Controlled Lumbar Drainage as a Therapeutic Option. Selected Case Series.

Neurocritical care·2023
Same author

Classifications of hydrocephalus based on Walter Dandy and his paradigm.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery·2023
Same author

Long term outcome after surgical treatment for hypothalamic hamartoma.

Epilepsy research·2023
Same author

Microsurgical Management of Complex Hypothalamic Hamartomas in the Era of Minimally Invasive Therapy: A Case Series and Narrative Review.

World neurosurgery·2022
Same author

Commentary on the article "Brain stiffness following recovery in a patient with an episode of low-pressure hydrocephalus: case report".

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery·2021
Same author

Long-term telemetric intracerebral pressure monitoring as a tool in intracranial hypotension.

Acta neurochirurgica·2021

Area of Science:

  • Pediatric Neurosurgery
  • Neurology
  • Biomedical Engineering

Background:

  • Abnormalities in cerebrospinal fluid (CSF) absorption can lead to serious neurological conditions in children.
  • Lumboperitoneal (LP) shunts are a potential treatment option for managing CSF absorption issues.
  • Careful patient selection is crucial for optimizing outcomes and minimizing risks associated with shunting procedures.

Purpose of the Study:

  • To evaluate the safety and efficacy of lumboperitoneal (LP) shunts in pediatric patients.
  • To assess the outcomes in children with specific cerebrospinal fluid absorption abnormalities.
  • To determine the risk of hindbrain herniation following LP shunt placement in this cohort.

Main Methods:

  • Retrospective analysis of 25 pediatric patients (mean age 9.6 years) who underwent LP shunting over 10 years.
  • Review of magnetic resonance imaging (MRI) studies, treatment indications, and pre- and postoperative symptoms.
  • Focus on specific conditions including postoperative pseudomeningocele, pseudotumor cerebri, and slit ventricle syndrome.

Main Results:

  • Complete resolution of preoperative symptoms was observed in all 25 patients post-LP shunt placement.
  • No patient experienced symptomatic or radiographic evidence of hindbrain herniation.
  • Twenty-one of the 25 shunts utilized integrated valve mechanisms.

Conclusions:

  • Lumboperitoneal (LP) shunts are a safe and effective treatment for carefully selected pediatric patients with specific CSF absorption disorders.
  • The risk of hindbrain herniation is not excessive when LP shunts are used for appropriate indications.
  • LP shunting offers a viable therapeutic option for complex pediatric neurosurgical cases involving CSF dynamics.

Related Experiment Videos