title: Shunt Devices for Neurointensivists: Complications and Management.
abstract: Cerebrospinal fluid diversion has become the mainstay treatment in hydrocephalus for over 50 years. As the number of patients with ventricular shunt systems increases, neurointensivists are becoming the first-line physicians for many of these patients. When symptoms of a shunt malfunction are suspected and access to a neurosurgeon is limited or delayed, workup and temporizing measures must be initiated. The article highlights the functional nuances, complications, and management of current programmable shunt valves and their MRI sensitivity.
authors.affiliation: Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Hanna House Room 5040, Cleveland, OH, 44106-1716, USA.
authors.forename: G
authors.initials: G
authors.lastname: Smith
authors.affiliation: Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Hanna House Room 5040, Cleveland, OH, 44106-1716, USA.
authors.forename: J
authors.initials: J
authors.lastname: Pace
authors.affiliation: Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Hanna House Room 5040, Cleveland, OH, 44106-1716, USA.
authors.forename: A
authors.initials: A
authors.lastname: Scoco
authors.affiliation: Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Hanna House Room 5040, Cleveland, OH, 44106-1716, USA.
authors.forename: G
authors.initials: G
authors.lastname: Singh
authors.affiliation: Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Hanna House Room 5040, Cleveland, OH, 44106-1716, USA.
authors.forename: K
authors.initials: K
authors.lastname: Kandregula
authors.affiliation: Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Hanna House Room 5040, Cleveland, OH, 44106-1716, USA.
authors.forename: S
authors.initials: S
authors.lastname: Manjila
authors.affiliation: Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Hanna House Room 5040, Cleveland, OH, 44106-1716, USA. cramoses@icloud.com.
authors.forename: C
authors.identifier: http://orcid.org/0000-0001-6737-5374
authors.initials: C
authors.lastname: Ramos-Estebanez
mesh_terms: D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects* / Q000295:instrumentation*; D003422:Critical Care / Q000379:methods*; D004868:Equipment Failure; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D009462:Neurology / Q000379:methods*; D011183:Postoperative Complications / Q000628:therapy*
keywords: Complications; Neurointensivists; Shunt; Valves