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Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series

Year 2023, Volume: 6 Issue: 1, 172 - 174, 01.01.2023

Murat Duyan Hakan Çakın Nafis Vural Ali Sarıdaş

https://doi.org/10.19127/bshealthscience.1201796

Abstract

Hydrocephalus is a common neurological disorder in both childhood and adulthood. Non-communicating hydrocephalus may occur due to obstruction of the cerebrospinal fluid (CSF) flow pathways by structural anomalies such as tumors, infections, adhesions, and developmental defects while communicating hydrocephalus might develop due to CSF absorption disorders or excess production. In symptomatic cases, treatment is divided into two approaches as medical and surgical. The most commonly used method in surgical treatment is the ventriculoperitoneal (VP) shunt system. The VP shunt system can have numerous advantages and complications and is expected to yield continuous and long-term solutions. One of its advantages is that CSF samples can be taken from the reservoir located on it. In cases suspected of intracranial infection but for whom Lumbar puncture (LP) cannot be performed, the shunt reservoir in the patient provides sufficient opportunity for CSF retrieval.

Keywords

Shunt tapping Lumbar puncture Emergency department Hydrocephalus Central nervous system infection

Supporting Institution

The authors declare no conflict of interest or any financial support.

Project Number

The authors declare no any financial support.

References

  • Doherty CM, Forbes RB. 2014. Diagnostic lumbar puncture. Ulster Med J, 83(2): 93-102.
  • Dorsett M, Liang SY. 2016. Diagnosis and treatment of central nervous system infections in the emergency department. Emerg Med Clin North America, 34(4): 917-942. DOI: 10.1016/J.EMC.2016.06.013.
  • Ferras M, McCauley N, Stead T, Ganti L, Desai B. 2020. Ventriculoperitoneal shunts in the emergency department: A review. Cureus, 12(2): e6857. DOI: 10.7759/CUREUS.6857.
  • Helweg-Larsen J, Astradsson A, Richhall H, Erdal J, Laursen A, Brennum J. 2012. Pyogenic brain abscess, a 15 year survey. BMC Infect Diseas, 12: 332. DOI: 10.1186/1471-2334-12-332.
  • Kahle KT, Kulkarni AV, Limbrick DD, Warf BC. 2016. Hydrocephalus in children. Lancet, 387(10020): 788-799. DOI: 10.1016/S0140-6736(15)60694-8.
  • Kazan S, Çakin H. 2015. Mechanical complications of shunt in hydrocephalus. Turkiye Klin Neurosurg, 5(1): 59-63.
  • Khan B, Hamayun S, Haqqani U, Khanzada K, Ullah S, Khattak R, Zadran N, Bibi Z, Khan AW. 2021. Early complications of ventriculoperitoneal shunt in pediatric patients with hydrocephalus. Cureus, 13(2): e13506. DOI: 10.7759/CUREUS.13506.
  • Ladde JG. 2020. Cardiovascular disease. in: Tintinalli JE, Ma OJ, Yealy DM, Meckler GD, Stapczynski JS, Cline DM, Thomas SH edition. Emergency medicine: A comprehensive study guide. McGraw-Hill Education, Columbus, US, pp: 2176.
  • Ozdol C, Gediz T, Basak AT, Basak N, Aghayev K. 2019. Shunt tapping versus lumbar puncture for evaluating cerebrospinal fluid infections in a pediatric population. Turkish Neurosurg, 29(2): 275-278. DOI: 10.5137/1019-5149.JTN.24714-18.1.
  • Solomon T, Michael BD, Smith PE, Sanderson F, Davies NWS, Hart IJ, Beeching NJ. 2012. Management of suspected viral encephalitis in adults-Association of British Neurologists and British Infection Association National Guidelines. Infection, 64(4): 347-373. DOI: 10.1016/J.JINF.2011.11.014.
  • Takhar SS, Ting SA, Camargo CA, Pallin DJ. 2012. U.S. emergency department visits for meningitis, 1993-2008. Acad Emerg Med, 19(6): 632-639. DOI: 10.1111/J.1553-2712.2012.01377.X.
  • URL1: https://texasnasc.com/?s=ventriculoperitoneal (access date: August 16, 2022).

Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series

Year 2023, Volume: 6 Issue: 1, 172 - 174, 01.01.2023

Murat Duyan Hakan Çakın Nafis Vural Ali Sarıdaş

https://doi.org/10.19127/bshealthscience.1201796

Abstract

Hydrocephalus is a common neurological disorder in both childhood and adulthood. Non-communicating hydrocephalus may occur due to obstruction of the cerebrospinal fluid (CSF) flow pathways by structural anomalies such as tumors, infections, adhesions, and developmental defects while communicating hydrocephalus might develop due to CSF absorption disorders or excess production. In symptomatic cases, treatment is divided into two approaches as medical and surgical. The most commonly used method in surgical treatment is the ventriculoperitoneal (VP) shunt system. The VP shunt system can have numerous advantages and complications and is expected to yield continuous and long-term solutions. One of its advantages is that CSF samples can be taken from the reservoir located on it. In cases suspected of intracranial infection but for whom Lumbar puncture (LP) cannot be performed, the shunt reservoir in the patient provides sufficient opportunity for CSF retrieval.

Keywords

Shunt tapping Lumbar puncture Emergency department Hydrocephalus Central nervous system infection

Project Number

The authors declare no any financial support.

References

  • Doherty CM, Forbes RB. 2014. Diagnostic lumbar puncture. Ulster Med J, 83(2): 93-102.
  • Dorsett M, Liang SY. 2016. Diagnosis and treatment of central nervous system infections in the emergency department. Emerg Med Clin North America, 34(4): 917-942. DOI: 10.1016/J.EMC.2016.06.013.
  • Ferras M, McCauley N, Stead T, Ganti L, Desai B. 2020. Ventriculoperitoneal shunts in the emergency department: A review. Cureus, 12(2): e6857. DOI: 10.7759/CUREUS.6857.
  • Helweg-Larsen J, Astradsson A, Richhall H, Erdal J, Laursen A, Brennum J. 2012. Pyogenic brain abscess, a 15 year survey. BMC Infect Diseas, 12: 332. DOI: 10.1186/1471-2334-12-332.
  • Kahle KT, Kulkarni AV, Limbrick DD, Warf BC. 2016. Hydrocephalus in children. Lancet, 387(10020): 788-799. DOI: 10.1016/S0140-6736(15)60694-8.
  • Kazan S, Çakin H. 2015. Mechanical complications of shunt in hydrocephalus. Turkiye Klin Neurosurg, 5(1): 59-63.
  • Khan B, Hamayun S, Haqqani U, Khanzada K, Ullah S, Khattak R, Zadran N, Bibi Z, Khan AW. 2021. Early complications of ventriculoperitoneal shunt in pediatric patients with hydrocephalus. Cureus, 13(2): e13506. DOI: 10.7759/CUREUS.13506.
  • Ladde JG. 2020. Cardiovascular disease. in: Tintinalli JE, Ma OJ, Yealy DM, Meckler GD, Stapczynski JS, Cline DM, Thomas SH edition. Emergency medicine: A comprehensive study guide. McGraw-Hill Education, Columbus, US, pp: 2176.
  • Ozdol C, Gediz T, Basak AT, Basak N, Aghayev K. 2019. Shunt tapping versus lumbar puncture for evaluating cerebrospinal fluid infections in a pediatric population. Turkish Neurosurg, 29(2): 275-278. DOI: 10.5137/1019-5149.JTN.24714-18.1.
  • Solomon T, Michael BD, Smith PE, Sanderson F, Davies NWS, Hart IJ, Beeching NJ. 2012. Management of suspected viral encephalitis in adults-Association of British Neurologists and British Infection Association National Guidelines. Infection, 64(4): 347-373. DOI: 10.1016/J.JINF.2011.11.014.
  • Takhar SS, Ting SA, Camargo CA, Pallin DJ. 2012. U.S. emergency department visits for meningitis, 1993-2008. Acad Emerg Med, 19(6): 632-639. DOI: 10.1111/J.1553-2712.2012.01377.X.
  • URL1: https://texasnasc.com/?s=ventriculoperitoneal (access date: August 16, 2022).
There are 12 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Murat Duyan 0000-0002-6420-3259

Hakan Çakın 0000-0002-2635-4953

Nafis Vural 0000-0002-3551-201X

Ali Sarıdaş 0000-0002-2725-6001

Project Number The authors declare no any financial support.
Publication Date January 1, 2023
Submission Date November 9, 2022
Acceptance Date November 30, 2022
Published in Issue Year 2023 Volume: 6 Issue: 1

Cite

APA Duyan, M., Çakın, H., Vural, N., Sarıdaş, A. (2023). Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series. Black Sea Journal of Health Science, 6(1), 172-174. https://doi.org/10.19127/bshealthscience.1201796
AMA Duyan M, Çakın H, Vural N, Sarıdaş A. Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series. BSJ Health Sci. January 2023;6(1):172-174. doi:10.19127/bshealthscience.1201796
Chicago Duyan, Murat, Hakan Çakın, Nafis Vural, and Ali Sarıdaş. “Use of Ventriculoperitoneal Shunt Reservoir As an Alternative to Lumbar Puncture, Case Series”. Black Sea Journal of Health Science 6, no. 1 (January 2023): 172-74. https://doi.org/10.19127/bshealthscience.1201796.
EndNote Duyan M, Çakın H, Vural N, Sarıdaş A (January 1, 2023) Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series. Black Sea Journal of Health Science 6 1 172–174.
IEEE M. Duyan, H. Çakın, N. Vural, and A. Sarıdaş, “Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series”, BSJ Health Sci., vol. 6, no. 1, pp. 172–174, 2023, doi: 10.19127/bshealthscience.1201796.
ISNAD Duyan, Murat et al. “Use of Ventriculoperitoneal Shunt Reservoir As an Alternative to Lumbar Puncture, Case Series”. Black Sea Journal of Health Science 6/1 (January 2023), 172-174. https://doi.org/10.19127/bshealthscience.1201796.
JAMA Duyan M, Çakın H, Vural N, Sarıdaş A. Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series. BSJ Health Sci. 2023;6:172–174.
MLA Duyan, Murat et al. “Use of Ventriculoperitoneal Shunt Reservoir As an Alternative to Lumbar Puncture, Case Series”. Black Sea Journal of Health Science, vol. 6, no. 1, 2023, pp. 172-4, doi:10.19127/bshealthscience.1201796.
Vancouver Duyan M, Çakın H, Vural N, Sarıdaş A. Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series. BSJ Health Sci. 2023;6(1):172-4.
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