Ventriculoperitoneal Shunt: Difference between revisions
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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> |
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%) |
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CSF biochemistry, cell count, and culture (positive) | Externalization of shunt, IV antibiotics |
Overdrainage | 3%-5% | Siphoning, inappropriate valve setting |
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