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Can patients with a CSF shunt SCUBA dive?

  • Review Article - Neurosurgery Training
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Background

Shunt placement for cerebrospinal fluid (CSF) diversion is one of the most commonly performed procedures in neurosurgery. Pleasure or sports diving is a popular sport enjoyed by millions. At present, no guidelines exist to affirm the safety of diving in the presence of a CSF shunt.

Methods

Literature search and review of medical fitness regulations used by diving organisations.

Results

Although the available evidence is anecdotal, no reports of shunt-related complications exist and in vitro studies show lasting functionality.

Conclusions

Patients with CSF shunts should undergo careful evaluation including assessment of their cognitive and physical needs as well as co-morbidities. Having a CSF shunt in situ is not in itself a contraindication to SCUBA diving.

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Contributors

All authors contributed to the conception of this work, participated in writing the manuscript, and provided approval of the submitted manuscript. All authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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Correspondence to Dmitri Shastin.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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The authors declare that they have no conflict of interest.

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The views expressed in the article are the authors’ own. Not presented at conferences.

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Shastin, D., Zaben, M. & Leach, P. Can patients with a CSF shunt SCUBA dive?. Acta Neurochir 158, 1269–1272 (2016). https://doi.org/10.1007/s00701-016-2800-x

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  • DOI: https://doi.org/10.1007/s00701-016-2800-x

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