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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Lumbar peritoneal shunt.

Yad R Yadav1, Vijay Parihar, Mallika Sinha

  • 1Neurosurgery Unit, NSCB Medical College, Jabalpur, Madhya Pradesh, India. yadavyr@yahoo.co.in

Neurology India
|May 29, 2010
PubMed
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The lumbar peritoneal (LP) shunt effectively diverts cerebrospinal fluid (CSF) for various neurological conditions. While complications exist, recent data suggest it

Area of Science:

  • Neurosurgery
  • Neurology
  • Medical Devices

Background:

  • Lumbar peritoneal (LP) shunts divert cerebrospinal fluid (CSF) from the lumbar thecal sac to the peritoneal cavity.
  • Indications include communicating hydrocephalus, idiopathic intracranial hypertension, CSF leaks, and other complex neurological conditions.
  • Despite efficacy, LP shunts are underreported due to initial negative outcomes.

Purpose of the Study:

  • To review the indications, complications, and results of LP shunts.
  • To compare LP shunts with ventriculoperitoneal (VP) shunts.
  • To highlight the potential of LP shunts in specific neurosurgical applications.

Main Methods:

  • Literature review based on searches in Google and PubMed.
  • Analysis of existing reports on LP shunt procedures.

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  • Comparative assessment with ventriculoperitoneal (VP) shunts.

    • Main Results:

    • LP shunts are indicated for numerous conditions, including hydrocephalus, CSF leaks, and syringomyelia.
    • Complications include shunt blockage, infection, CSF leaks, overdrainage, and acquired Chiari malformation (ACM).
    • Recent reports favor LP shunts over VP shunts for communicating hydrocephalus, especially when ventricles are normal or small.

    Conclusions:

    • LP shunts offer a safe and effective alternative, particularly in communicating hydrocephalus and when ventricles are not enlarged.
    • Timely management of complications like overdrainage and ACM is crucial for reducing morbidity.
    • Further research and publications are needed to fully establish the utility of LP shunts across their wide range of indications.