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Ultrasound evaluation of complications in shunted hydrocephalus
Clinical Radiology
|July 1, 1984
Insights
Real-time ultrasound can detect cranial and abdominal complications from ventriculoperitoneal shunting in infants. This method uses the anterior cranial fontanelle or abdominal wall for assessment, as shown in eight documented cases.
Area of Science:
- Pediatric Surgery
- Medical Imaging
- Neurosurgery
Background:
- Ventriculoperitoneal shunting is a common procedure for hydrocephalus in infants.
- Complications can arise in both cranial and abdominal regions post-surgery.
- Early detection of complications is crucial for infant outcomes.
Observation:
- Real-time ultrasound is a non-invasive imaging modality.
- Ultrasound can be applied through the anterior cranial fontanelle for cranial assessment.
- Ultrasound can be applied through the abdominal wall for abdominal assessment.
Findings:
- Ultrasound effectively visualizes ventriculoperitoneal shunt complications in infants.
- The study presents eight cases illustrating the spectrum of ultrasound findings.
- Specific cranial and abdominal complications are identifiable via ultrasound.
Implications:
- Real-time ultrasound offers a valuable bedside tool for monitoring shunt function in infants.
- This imaging technique can facilitate prompt diagnosis and management of shunt-related issues.
- Improved monitoring may lead to better clinical outcomes for infants with shunts.
Abstract:
In the infant the cranial and abdominal complications of ventriculoperitoneal shunting can be assessed by real-time ultrasound via the anterior cranial fontanelle or the abdominal wall. The possible complications are listed and eight cases document the spectrum.