Vp Shunt After Stroke

The current incidence of shunt infection in most neurosurgical units is about 5 8 but many units are now achieving better results as a result of preventative measures and protocols.

Vp shunt after stroke. However 2 patients 6 1 required vp shunt revision because of malfunction related to an obstruction of the shunt system after 3 and 5 months respectively. If the hydrocephalus is not improved or gets worse after the evd has been clamped the patient will require placement of a permanent ventriculoperitoneal vp shunt. A ventriculoperitoneal shunt drains excess brain fluid reducing brain pressure to a safe level.

Based on operative findings the valve was the site of obstruction in 1. Ventriculoperitoneal shunt vps placement is one of the most commonly performed neurosurgical procedures and is necessary to treat most forms of hydrocephalus. Unfortunately complications related to vps placement are common and multiple shunt revisions are almost expected throughout a patient s lifetime.

Vp shunting is a surgical procedure that primarily treats a condition called. Shunt overdrainage is seen in 10 12 of patients with vp shunts and may manifest as slit ventricle syndrome intracranial hypotension syndrome subdural fluid collections craniosynostosis ventricular compartmentalization and cerebellar tonsillar herniation 11 12 the mechanism proposed are loss of normal buffering capability of csf and reduced brain parenchymal compliance 13. Early weaning from an evd and conversion to a vp shunt was performed irrespective of ivh or high protein content in the csf.

Although a subset of patients will require permanent ventricular shunt placement little is known about contemporary practices regarding the timing of ventriculostomy and ventricular shunt placement after intracerebral hemorrhage. However if your vp shunt is placed for a sudden emergency such as swelling from a stroke an infection of the brain or bleeding in the brain then there is a high chance that your shunt can be removed once the cause of the swelling is resolved. Ventriculoperitoneal shunts consist of a valve and two tubes called catheters which drain the.

Intraventricular hemorrhage requiring ventriculostomy placement is a frequent complication of spontaneous intracerebral hemorrhage. The mean interval from evd to vp shunt placement was 6 4 days. The mean volume of ivh was 9 44 ml and the mean value of ivh whole ventricle volume ratio ie percentage of blood suspension in the csf was 9 81.

After six months a vp shunt will not become infected unless intra abdominal sepsis occurs for example appendicitis diverticulitis or postgastrostomy feeding tube insertion.