| ORIGINAL ARTICLE
|Year : 2012 | Volume
| Issue : 2 | Page : 54-57
Pediatric hydrocephalus: Does the shunt device pressure selection affect the outcome?
Arvind Sinha1, Anuj Sharma2, Charitesh Gupta3
1 Department of Pediatric Surgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun, India
2 Department of Surgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun, India
3 Department of Neurosurgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun, India
Aim : To compare the efficacy of low- versus medium-pressure shunts in pediatric hydrocephalus in a randomized controlled trial. Materials and Methods: Forty patients of pediatric hydrocephalus were randomized into two groups. The Chhabra differential pressure VP shunt (low or medium) was inserted in every patient. Postoperative follow-up was performed for symptomatic improvement and radiological evaluation (by sonography or computed tomography scan) for ventricle hemispheric ratio (VHR). Comparative analysis of pre- and postoperative VHR and need of redo surgery for shunt malformation were carried out to establish outcomes. Results: Nineteen patients had a low-pressure and 21 patients had a medium-pressure shunt inserted. The age of the patients ranged from 1 day to 10 years. The average preoperative VHR in group A was 55.37%, which reduced to 40% postoperatively (P = 0.00005); likewise, the pre- and postoperative VHR in group B were 61.57% and 42%, respectively, which was statistically significant (P = 0.0006). The complications of shunts and incidence of redo shunt surgery in both groups were not found to be statistically significant (P = 0.5614). Conclusions : The study found no significant difference in the outcome of patients with low- or medium-pressure shunt placement in pediatric hydrocephalus.
Department of Pediatric Surgery, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehra Dun - 248 140
Source of Support: None, Conflict of Interest: None
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