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Related Experiment Videos

Endocrinological disorders in shunted hydrocephalus.

G Kaiser1, A Ruedeberg, M Arnold

  • 1Department of Pediatric Surgery, Inselspital, Berne.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|December 1, 1989
PubMed
Summary

Endocrinological abnormalities are common in patients with hydrocephalus treated with shunts. These findings, including dwarfism and abnormal growth, occurred in 60% of patients, unrelated to shunt malfunction.

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Area of Science:

  • Pediatric endocrinology
  • Neurosurgery
  • Hydrocephalus management

Background:

  • Hydrocephalus is a common neurological condition requiring surgical intervention.
  • Shunt placement is a standard treatment for hydrocephalus.
  • Potential endocrine complications following shunting require investigation.

Purpose of the Study:

  • To investigate the prevalence of endocrinological findings in patients with isolated hydrocephalus treated with shunts.
  • To identify specific endocrine abnormalities and their potential causes.
  • To assess the relationship between shunt function and endocrine status.

Main Methods:

  • Retrospective analysis of 90 patients with isolated hydrocephalus and shunts.
  • Evaluation of endocrinological parameters and physical examinations.

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  • Assessment of shunt function at the time of endocrinological evaluation.

    • Main Results:

    • 60% of shunted patients exhibited endocrinological findings.
    • Dwarfism was observed in one third of affected patients.
    • Abnormal proportions, obesity, and sexual precocity occurred in 9-15% of cases, with various combinations.

    Conclusions:

    • Endocrinological abnormalities are frequent in patients with shunted hydrocephalus.
    • These findings are not attributable to shunt malfunction.
    • Further research into the diverse etiologies of these endocrine disturbances is warranted.