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Updated: Oct 2, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Hydrocephalus and shunts in children with brain tumors
1Division of Pediatric Neuro-Oncology, Duke University Medical Center, Durham, NC, USA.
Insights
Pediatric neuro-oncology patients with brain tumors may need shunts to treat hydrocephalus. Nurses require specialized knowledge for shunt care, covering fluid dynamics, placement, and potential complications.
Area of Science:
- Pediatric Neuro-oncology
- Neurosurgery
- Pediatric Nursing
Background:
- Children with brain tumors often develop hydrocephalus, requiring cerebrospinal fluid (CSF) shunting.
- Effective management necessitates interdisciplinary, multispecialty care.
- Pediatric oncology nurses play a crucial role in shunt management.
Purpose of the Study:
- To provide pediatric oncology nurses with essential knowledge for caring for children with shunts.
- To review the pathophysiology of hydrocephalus and CSF flow.
- To detail shunt placement criteria and potential complications.
Main Methods:
- Literature review of pediatric neuro-oncology, hydrocephalus, and shunt management.
- Focus on ventriculoperitoneal shunts commonly used in pediatric patients.
- Emphasis on nursing considerations and best practices.
Main Results:
- Understanding CSF dynamics and hydrocephalus is key to effective shunting.
- Shunt placement is determined by specific clinical and radiological factors.
- Ventriculoperitoneal shunts carry risks including infection, malfunction, and obstruction.
Conclusions:
- Pediatric oncology nurses must be proficient in managing shunted hydrocephalus.
- Comprehensive care involves recognizing and addressing shunt-related complications.
- This knowledge empowers nurses to optimize patient outcomes in pediatric neuro-oncology.
Abstract:
Children with brain tumors are at risk for developing hydrocephalus necessitating placement of a permanent shunt catheter. As comprehensive, interdisciplinary, multispecialty care is required for these patients, the pediatric oncology nurse must become knowledgeable about caring for children with a shunt. This article focuses on the care of the pediatric neuro-oncology patient requiring shunting for hydrocephalus, including a review of cerebrospinal fluid flow and hydrocephalus, determinants of shunt placement, complications of ventriculoperitoneal shunts, and nursing considerations.
Related Concept Videos
Cerebrospinal Fluid
CSF Production
CSF is produced mainly in the choroid plexus, a network of capillaries and ependymal cells located within the ventricular system of the brain.
Brain Abscess l: Introduction
Increased Intracranial Pressure l: Introduction
Increased Intracranial Pressure ll: Pathophysiology
Cerebral Edema l: Introduction
Cerebral Edema ll: Pathophysiology

