Hydrocephalus, Ventriculo-Peritoneal shunt and Cerebrospinal fluid ascites

  • OP Binitie Department of Neurosurgery, Assir Central Hospital, P. O. Box 34, Abha, Saudi Arabia
  • SA Abdul-Azeim Department of Neurosurgery, Assir Central Hospital, P. O. Box 34, Abha, Saudi Arabia
  • SH Annobil Department of Child Health, King Khalid College of Medicine, Abha, Saudi Arabia. P. O. Box 34, Abha Saudi Arabia.
Keywords: Hydrocephalus, Ventriculoperitoneal (vp) shunt, Cerebrospinal fluid (CSF) ascites, Ventriculoatrial (VA) shunt

Abstract

A small number of patients with congenital hydrocephalus, who have been treated effectively with ventriculoperitoneal shunts, develop progressive increase in abdominal girth, due to cerebrospinal fluid ascites. This abdominal distension can produce respiratory difficulties that require endotraccheal intubation and ventilator support. The respiratory difficulties and the abdominal distension were eliminated when the ventriculoperitoneal shunt was conterted to a ventriculoatrial shunt in each of the three cases presented in this paper for discussion.

Keywords: Hydrocephalus, Ventriculoperitoneal (vp) shunt, Cerebrospinal fluid (CSF) ascites, Ventriculoatrial (VA) shunt.

Résumé

Un petit nombre de patients, avec congenital hydrocephale, qui ont été traite avec succès par shunts ventriculo-peritoneal, development une augmentation progressive de la sangle abdominale, due a la formation d'ascite par le liquide cephalo-rachidien. Cette distension abdominale peut produire des difficultes respiratoires necessitant une intubation endotracheale avec ventilation. Les difficultes respiratoires et la distension abdominale ont été corrigees par le remplacement du shunt ventriculo-peritoneal par un shunt auriculo-ventriculaire dans chacun des trios cas presentes dans la discussion.

West African Journal of Medicine Vol.21(3) 2002: 260-261

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