Shunt revision: complications and their prevention.
Long-term maintenance of neurologic function in shunt-dependent individuals requires vigilance and attention to detail. This review details the essential elements for the long-term surveillance of the shunted child and adult in terms of access to a responsive system. The causes of shunt failure and complications are enumerated. The technical aspects of assessing a shunt that may have failed are discussed as well as the details of performing a shunt revision for a variety of causes of failures.
Rekate
H L
HL
Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Ariz.
D001139:Arnold-Chiari Malformation / Q000601:surgery; D002557:Cerebrospinal Fluid Shunts; D002648:Child; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D007427:Intracranial Pressure / Q000502:physiology; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation