Lumboperitoneal shunts: Review of 409 cases.
- Resource Type
- Article
- Authors
- Yadav, Y.R.; Pande, Sanjay; Raina, Vijay K.; Singh, Manish
- Source
- Neurology India. Jun2004, Vol. 52 Issue 2, p188-190. 3p.
- Subject
- *LUMBOSACRAL region
*PERITONEAL access
*SURGICAL arteriovenous shunts
*MENINGITIS
*CENTRAL nervous system diseases
*HYDROCEPHALUS
- Language
- ISSN
- 0028-3886
Background and Aims: A prospective study was carried out to evaluate the lumboperitoneal shunt procedure. Material and Methods: Four hundred and nine patients having communicating hydrocephalus were selected for the procedure during a 10-year period from March 1992 to February 2002. The average follow-up was 45.34 months. Results: Tubercular meningitis (TBM)-related hydrocephalus was detected in 285 patients. Forty per cent of the patients were less than 15 years of age. Glasgow Coma Scale (GCS) of less than 8 was seen in 40% patients and 14.9% patients were in GCS 13-15. At the time of discharge 56.7% patients improved in their GCS to 13 -15 and 14.9% were in GCS 8 or less. The overall mortality was 5.13% and shunt-related mortality was seen in 2% patients. Shunt malfunction requiring revision was seen in 32 patients (7.8%) and the total number of shunt revisions was 44 (11%). Shunt infection was noted in 3.4% patients. CSF leak at the lumbar end occurred in 12 patients. Four patients required conversion of LP shunt to VP shunt. Conclusions: Lumboperitoneal shunt is an effective shunting procedure in communicating hydrocephalus. [ABSTRACT FROM AUTHOR]