Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Epilepsy in shunt-treated hydrocephalus

J Klepper1, M Büsse, H M Strassburg

  • 1Universitaetsklinikum Essen, Kinderklinik, Germany.

Developmental Medicine and Child Neurology
|January 9, 1999
PubMed
Summary

Epilepsy in hydrocephalus patients is often linked to shunts, but this study found epilepsy is more related to hydrocephalus cause than surgery. Postoperative epilepsy incidence was low, suggesting it may be overestimated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Efficacy and safety of freshly collected autologous adipose tissue for complex anal fistulas in non-IBD patients: a prospective cohort study.

Techniques in coloproctology·2026
Same author

Identification of the Neural Correlates Underlying Conflict Resolution Performance Using a Rodent Analogue of the Stroop Tests.

Neuroscience·2023
Same author

Repeated cardiopulmonary performance measurements in young competitive handball players with and without SARS-CoV-2 infection.

BMC sports science, medicine & rehabilitation·2022
Same author

Multi-Scale Investigation of Human Renal Tissue in Three Dimensions.

IEEE transactions on medical imaging·2022
Same author

Successful treatment of psoriasis with adalimumab induced no changes in the gut microbiota.

Journal of the European Academy of Dermatology and Venereology : JEADV·2022
Same author

Correction to: Response to the letter to the editor by Kampert et al. entitled "Impact of wearing a facial covering on aerobic exercise capacity in the COVID‑19 Era: is it more than a feeling?"

Clinical research in cardiology : official journal of the German Cardiac Society·2021

Area of Science:

  • Neurosurgery
  • Neurology
  • Pediatrics

Background:

  • Epilepsy is a known complication in patients with hydrocephalus treated with shunts.
  • The exact relationship between shunting procedures and the development of postoperative epilepsy remains unclear.
  • Identifying specific criteria for shunt-related epilepsy is challenging and debated in medical literature.

Purpose of the Study:

  • To investigate the incidence and risk factors of epilepsy in patients who underwent shunt insertion for hydrocephalus.
  • To analyze the relationship between epilepsy and various factors including hydrocephalus etiology, shunt details, and patient characteristics.
  • To determine if epilepsy is primarily a consequence of the shunting procedure or the underlying hydrocephalus.

Main Methods:

  • Retrospective analysis of 182 patients with hydrocephalus who received shunts between 1970 and 1994.

Related Experiment Videos

  • Follow-up data collected for a minimum of 1 year post-shunt insertion.
  • Epilepsy occurrence was evaluated against hydrocephalus etiology, functional status, shunt specifics, seizure characteristics, and EEG findings.

    • Main Results:

    • Overall, 37 (20%) of the 182 studied patients developed epilepsy.
    • Epilepsy incidence varied significantly by hydrocephalus etiology, with higher rates in posthemorrhagic and postinfectious causes.
    • Early shunting and poor functional status were associated with increased epilepsy risk; epilepsy was not influenced by sex, shunt systems, or revisions.

    Conclusions:

    • The development of epilepsy in shunt-treated hydrocephalus patients is predominantly determined by the etiology of hydrocephalus, not the surgical intervention.
    • The incidence of postoperative epilepsy (12%) was found to be low, suggesting that epilepsy as a complication of intracranial shunting may be overestimated.
    • Clinical presentation of seizures and EEG changes were not reliable indicators for identifying shunt-related epilepsy.