EPIDEMIOLOGICAL ANALYSIS OF VENTRICULOPERITONEAL SHUNT FOR HYDROCEPHALUS
Journal Title: IJAR-Indian Journal of Applied Research - Year 2018, Vol 8, Issue 9
Abstract
To identify the spectrum of patients for whom cerebrospinal fluid diversion is done and to study the pattern of presentation based on clinical criteria and symptomatology and radiological investigation . To study the indications for the ventriculoperitoneal shunt and the further course in the hospital from admission to discharge including the complications in the study period designated from January 2013 to December 2014 which spans 2 years and followed up the cases for around 6 months. OBJECTIVES : To study the indications of the cerebrospinal fluid diversion procedure and the course of the patient from the time of admission to discharge. This includes the presenting symptoms, radiological investigation, the admitting GCS (Glasgow Coma Scale) , cerebrospinal fluid study and the condition at discharge and complications . MATERIALS AND METHODS : It is a retrospective and prospective analysis of 100 patients in a tertiary care centre from January 2013 to December 2014 for a span of 2 years. OBSERVATION AND RESULTS: Out of the hundred patients who underwent ventriculoperitoneal shunt 59% were done among paediatric patients and 41% were done on adult patients and 77% underwent emergency ventriculoperitoneal shunt and 23% underwent elective VP Shunt. There is no significant short term outcome difference based on the side of shunt (either left or right). CONCLUSION: The incidence of hydrocephalous appears to be more in the paediatric population. Early emergency shunting of hydrocephalous carries good prognosis especially if the admitting GCS is 12 or above. Abbreviations : CSF- Cerebrospinal fluid, GCS – Glasgow Coma Scale
Authors and Affiliations
Dr. Sukirti Chauhan, Dr. M. Anandha Shanmugaraj
Keywords
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