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Ventriculoperitoneal Shunts and Other Neurosurgical Considerations in Children with Medical Complexity

Tamara D Simon1, Joshua K Schaffzin2, Stacey Podkovik3

  • 1Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, CA, USA; Division of Hospital Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA.

Pediatric Clinics of North America
|April 22, 2026
PubMed

Insights

Pediatric clinicians must understand common neurosurgical problems like CSF shunt issues and epilepsy surgery. Collaboration between pediatricians and neurosurgeons is key to advancing care for hospitalized children.

Area of Science:

  • Pediatric Neurosurgery
  • Hospital Medicine

Background:

  • Hospitalized children present increasing numbers and complexity.
  • Pediatric clinicians frequently encounter neurosurgical issues.

Purpose of the Study:

  • To highlight the importance of pediatric clinicians' familiarity with common neurosurgical issues.
  • To emphasize the collaborative opportunities between pediatric clinicians and neurosurgeons.

Main Methods:

  • Review of common pediatric neurosurgical issues.
  • Discussion of clinical presentation, diagnostic evaluation, and management.

Main Results:

  • Common issues include cerebrospinal fluid (CSF) shunt problems, baclofen pumps, and epilepsy surgery.
  • Care requires an understanding of neurosurgical conditions.

Conclusions:

  • Pediatric clinicians need expertise in managing neurosurgical conditions.
  • Collaboration in care, quality improvement, and research can advance pediatric neurosurgical care.

Keywords:
Baclofen pumpsCSF shuntsComplicationsEpilepsy surgeryInfection

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