title: Subgaleo-peritoneal shunt: An effective and safer alternative to lumboperitoneal shunt in the management of persistent or recurrent iatrogenic cranial pseudomeningoceles.
abstract: Subgaleo-peritoneal (SP) shunting for pseudomeningoceles (PMCs) is an effective and safer alternative as compared to the lumboperitoneal (LP) shunt. SP shunting was done in six patients (14-60 years) with persistent or recurrent PMCs using the cranial (ventricular part) and the distal parts of a Chhabra shunt connected by a rigid connector without any intervening chamber or valve. Two patients had undergone a prior LP shunt that had failed. One patient was unsuitable for a LP shunt placement. The PMC subsided completely in all the patients following the SP shunt. In one patient, the shunt got displaced and required repositioning. None of the patients developed symptoms of over-drainage or any other complication. All patients were asymptomatic at a mean follow-up of 15 months. These results suggest that SP shunting is a safe, simple, and effective alternative to the traditional LP shunt in the management of persistent or recurrent cranial PMCs.
authors: Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore, Karnataka, India.
authors: Narayanam Anantha Sai
authors: NA
authors: Kiran
authors: Sumit
authors: S
authors: Thakar
authors: Dilip
authors: D
authors: Mohan
authors: Saritha
authors: S
authors: Aryan
authors: Arun Sadashiva
authors: AS
authors: Rao
authors: Alangar S
authors: AS
authors: Hegde
mesh_terms: D002493:Central Nervous System Diseases; D002557:Cerebrospinal Fluid Shunts; D004322:Drainage; D006801:Humans; D007049:Iatrogenic Disease; D017287:Ventriculoperitoneal Shunt