Ventriculoperitoneal shunt systems that are used in the treatment of normal pressure hydrocephalus are often associated with drainage problems. Adjustable shunt systems can prevent or treat these problems, but they may be expensive. The aim of our study is to compare the complications and total cost of several shunt systems.Patients with normal pressure hydrocephalus who underwent ventriculoper...

The precise pathogenesis of high pulmonary blood flow-induced pulmonary arterial hypertension (PAH) remains unclear. The purpose of this study was to explore the expression and function of survivin in pulmonary arterial smooth muscle cell (PASMC) in a rat model of high pulmonary blood flow-induced PAH. Sprague-Dawley (SD) rats were randomly divided into the following groups: Control group, Sham...

We report a 23-year-old woman who developed ascites 3 years after ventriculoperitoneal shunting. Revision of the shunt to ventricular drainage followed by ventriculo-atrial shunting was required for resolution of ascites. In our patient the pathophysiology of this rare shunt complication most likely involved impaired absorption of fluid within the peritoneum associated with multiple shunt recon...

Figure 1 Side view of shunt splint Asplin t was designed for adult renal patients who required protection of their forearm shunt while sleeping. It is posi tioned over the shunt with I inch (2.5 em) clearance, which prevents the weight of the body from resting on the forearm and disrupting circulation. Although sImilar to a splint designed for children who require maximum protection of the shun...

We describe the adult radiographic shuntogram, a simple method to evaluate the function and patency of a ventriculoperitoneal or ventriculoatrial shunt. The procedure involves placing contrast material into the valve of a shunt system and following the flow for appropriate clearing of contrast agent from the shunt tubing. Twenty-three studies were obtained in 15 patients in whom shunt malfuncti...

BACKGROUND Ventriculoperitoneal (VP) shunts are used for intracranial pressure management and temporary cerebrospinal fluid (CSF) drainage. Infection of the central nervous system (CNS) is a major cause of morbidity and mortality in patients with CSF shunts. The aim of the present study was to evaluate the clinical features, pathogens, and outcomes of 22 patients with CSF shunt infections colle...

OBJECTIVE To describe the natural history and shunt outcome in patients with normal pressure hydrocephalus (NPH) and the variables that influence both. METHOD Motor and cognitive parameters of 35 patients with NPH, as well as shunt surgery status, were registered at two time points (T0 and T1). RESULTS Thirteen patients underwent shunt surgery. Favorable outcome in gait function occurred in...

BACKGROUND Since the condition was first described in 1965, the syndrome of normal pressure hydrocephalus (NPH) has conventionally been managed by placement of a cerebrospinal fluid (CSF) shunt. OBJECTIVES To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH. SEARCH STRATEGY The trials were identified from ...

OBJECTIVES Right heart failure is a major cause of morbidity and mortality after left ventricular assist device implantation and is still hard to predict. This study investigated the haemodynamic effect of a modified Glenn shunt on induced right ventricular (RV) failure. METHODS Isolated RV failure was induced by coronary ligation in 11 pigs. A modified Glenn shunt was established by a superi...

Cerebrospinal fluid (CSF) overdrainage after lumboperitoneal (LP) shunt placement for the patients with idiopathic normal pressure hydrocephalus (iNPH) is mainly caused by insufficient management of pressure settings of the shunt valve and/or siphon effect of shunt systems induced by the patient's postural changes. We here report a unique case of intracranial hypotension (IH) due to CSF leakage...