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OS reboot.

Aaron M Fairbanks1, John J Chen2, M Tariq Bhatti2

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|March 30, 2021
PubMed
Summary
This summary is machine-generated.

Cerebrospinal fluid (CSF) shunts treat hydrocephalus but frequently fail, requiring revisions. Ophthalmologists assess vision loss and papilledema in patients with CSF shunts to detect malfunction.

Keywords:
Cerebrospinal fluidHydrocephalusIntracranial pressurePapilledemaShunt malfunctionSixth nerve palsy

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Area of Science:

  • Neurosurgery
  • Ophthalmology
  • Neurology

Background:

  • Cerebrospinal fluid (CSF) shunting is a common surgical treatment for hydrocephalus and elevated intracranial pressure.
  • CSF shunts have a high failure rate, with approximately 50% failing within two years and requiring multiple revisions within a decade.
  • Ophthalmologists play a role in evaluating patients with CSF shunts for neuro-ophthalmic complications.

Purpose of the Study:

  • To discuss the neuro-ophthalmic manifestations associated with CSF shunt malfunction.
  • To outline the evaluation process for suspected CSF shunt malfunction in patients presenting with visual complaints.

Main Methods:

  • Review of neuro-ophthalmic signs and symptoms related to CSF shunt malfunction.
  • Discussion of diagnostic approaches for evaluating CSF shunt function in the context of visual disturbances.

Main Results:

  • CSF shunt malfunction can present with various neuro-ophthalmic findings, including vision loss, diplopia, and papilledema.
  • Ophthalmological examination is crucial for identifying these manifestations and assessing shunt status.

Conclusions:

  • Early recognition of neuro-ophthalmic signs is vital for diagnosing CSF shunt malfunction.
  • A systematic ophthalmological evaluation can aid in the timely detection and management of CSF shunt complications.