Neuroendoscopic procedures in achievement of shunt independence: outcome analysis of 28 patients with shunt malfunction

Minim Invasive Neurosurg. 2008 Jun;51(3):158-64. doi: 10.1055/s-2008-1046760.

Abstract

Objective: The authors review their experience of the TV-controlled endoscopic technique in the treatment of shunt malfunction in 28 patients suffering from hydrocephalus.

Material and methods: We treated 28 patients (6.6+/-1.2 years) with shunt malfunctions by a neuroendoscopic procedure. The number of reimplantations of the shunt systems prior to the neuroendoscopic procedure varied from 1 to 13. Duration of the shunt dependency has averaged to 42.7+/-8.1 months (range: 5-180 months). All procedures were performed with the Gaab I neuroendoscope and Gaab II miniature neuroendoscope. All patients presented with neurological signs and deficits. The follow-up period has averaged to 32.3+/-6.2 months (4-114 months).

Conclusion: Endoscopic surgery offers an effective technique in the surgical treatment of shunt malfunction. On the basis of our experience, the use of a neuroendoscopic procedure for shunt malfunction allows us to achieve shunt independence in 82.1% and shunt removal in 50.0%. The introduction of these methods is recommended in neurosurgical centers that are traditionally widely engaged in the treatment of hydrocephalus.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Cerebrospinal Fluid Shunts / instrumentation*
  • Child
  • Child, Preschool
  • Equipment Failure*
  • Female
  • Humans
  • Hydrocephalus / surgery*
  • Image Processing, Computer-Assisted
  • Imaging, Three-Dimensional
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Microsurgery / instrumentation
  • Neuroendoscopes*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / surgery*
  • Reoperation
  • Tomography, X-Ray Computed
  • Ventriculostomy / instrumentation*