Ventriculoperitoneal Shunt: Difference between revisions
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(Created page with "= Causes of VP Shunt Failure = <table class="wikitable"> <tr> <th>Complication</th> <th>Frequency</th> <th>Etiology</th> <th>Clinical Presentation</th> <th>Diagnosis/Work-up</th> <th>Management</th> </tr> <tr> <td>Mechanical Failure</td> <td>8%-64%</td> <td>Occlusion, fracture of tubing, disconnection of components, migration of shunt</td> <td> <ul> <li>Decreased level of consciousn...") |
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= Causes of VP Shunt Failure = | = Causes of VP Shunt Failure = | ||
<table class="wikitable"> | <table class="wikitable" width="100%"> | ||
<tr> | <tr> | ||
<th>Complication</th> | <th>Complication</th> | ||
<th>Frequency</th> | <th>Frequency</th> | ||
<th>Etiology</th> | <th>Etiology</th> | ||
<th>Clinical Presentation</th> | <th width="20%">Clinical Presentation</th> | ||
<th>Diagnosis/Work-up</th> | <th>Diagnosis/Work-up</th> | ||
<th>Management</th> | <th>Management</th> | ||
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</table> | </table> | ||
[[Category:Hydrocephalus] | [[Category:Hydrocephalus]] | ||
Latest revision as of 22:22, 3 March 2024
Causes of VP Shunt Failure
| Complication | Frequency | Etiology | Clinical Presentation | Diagnosis/Work-up | Management |
|---|---|---|---|---|---|
| Mechanical Failure | 8%-64% | Occlusion, fracture of tubing, disconnection of components, migration of shunt |
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Shunt exploration and revision |
| Infection | 3%-12% | Staphylococcus epidermidis (50%), Staphylococcus aureus (25%), anaerobic bacteria (e.g., Corynebacterium diphtheriae, Propionibacterium acnes) (10%) |
|
CSF biochemistry, cell count, and culture (positive) | Externalization of shunt, IV antibiotics |
| Overdrainage | 3%-5% | Siphoning, inappropriate valve setting |
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