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Current Management Strategies of Hydrocephalus in the Child With Open Spina Bifida

William Norkett1, David G McLone1,2, Robin Bowman1,2

  • 1Ann and Robert H. Lurie Children's Hospital of Chicago.

Topics in Spinal Cord Injury Rehabilitation
|January 18, 2018
PubMed

Insights

Symptomatic hydrocephalus in myelomeningocele (open spina bifida) can be treated with ventriculo-peritoneal (VP) shunts. This review examines VP shunts, endoscopic third ventriculostomy (ETV), and conservative management as alternatives.

Area of Science:

  • Neuroscience
  • Pediatric Surgery
  • Developmental Biology

Background:

  • Symptomatic hydrocephalus is a frequent complication of myelomeningocele (open spina bifida).
  • Ventriculo-peritoneal (VP) shunts have been the traditional treatment for hydrocephalus since the late 1950s.
  • Alternative treatments to VP shunt diversion are now available.

Purpose of the Study:

  • To review hydrocephalus associated with myelomeningocele.
  • To discuss current and alternative treatment options for hydrocephalus in this population.

Main Methods:

  • Literature review of hydrocephalus management in myelomeningocele.
  • Analysis of treatment outcomes for VP shunt, ETV, and conservative management.

Main Results:

  • VP shunts remain a standard treatment for hydrocephalus in myelomeningocele.
  • Endoscopic third ventriculostomy (ETV) and conservative management offer alternative approaches.
  • The choice of treatment depends on individual patient factors and clinical presentation.

Conclusions:

  • Hydrocephalus in myelomeningocele requires careful management.
  • A range of treatment options, including VP shunts, ETV, and conservative care, are available.
  • Further research may elucidate optimal treatment strategies for specific patient subgroups.

Keywords:
hydrocephalusspina bifidasurgical managementventriculo-peritoneal (VP) shunt

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