title: Referrals for suspected ventriculo-peritoneal shunt dysfunction and necessity for further imaging.
abstract: Shunt series (SS) X-rays are often performed as additional routine initial investigations for suspected ventriculo-peritoneal shunt dysfunction, despite low diagnostic utility and radiological implications. We reviewed such referrals at our neurosurgical unit and found an 8.3% sensitivity rate for SS; consistent with current evidence. SS should not be performed routinely.
authors.affiliation: a Department of Neurosurgery , Queen's Medical Centre , Nottingham , UK.
authors.forename: Shyam
authors.initials: S
authors.lastname: Pujara
authors.affiliation: a Department of Neurosurgery , Queen's Medical Centre , Nottingham , UK.
authors.forename: Ammar
authors.identifier: http://orcid.org/0000-0003-4664-5202
authors.initials: A
authors.lastname: Natalwala
authors.affiliation: a Department of Neurosurgery , Queen's Medical Centre , Nottingham , UK.
authors.forename: Iain
authors.initials: I
authors.lastname: Robertson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004868:Equipment Failure; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D019564:Unnecessary Procedures / Q000706:statistics & numerical data; D017287:Ventriculoperitoneal Shunt / Q000379:methods; D055815:Young Adult
keywords: Shunt series; imaging; shunt dysfunction