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Ventriculo-subgaleal shunts—broadening the horizons: an institutional experience

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Abstract

Objective

Ventriculo-subgaleal shunt is an established treatment of hydrocephalus following germinal matrix haemorrhage in low birth weight neonates. It is also used in treatment of post-infective hydrocephalus in children. We intend to emphasise the impact of its extended use in multiple clinical conditions to reduce the number of permanent shunt implantation in infants.

Method

Retrospective review of clinical cases in a single institution from medical records.

Results

VSG shunts with low-pressure valve system were useful in variety of hydrocephalus in infants (post-haemorrhagic, post-infective, post-myelomeningocele, post-shunt block, post-traumatic, hydrocephalus associated with brain tumours). A significant number of infants especially those with post-haemorrhagic and post-myelomeningocele hydrocephalus could be made free of permanent shunt placement.

Conclusions

Ventriculo-subgaleal shunt is an effective, less risky temporary solution of hydrocephalus in infants and can be used in a variety of hydrocephalus in children and helps in avoiding shunt dependency in some of them.

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Authors and Affiliations

  1. Park Neuroscience Service, Park Clinic, Kolkata, India

    Kaushik Sil, Sudip Kumar Ghosh & Sandip Chatterjee

Authors
  1. Kaushik Sil
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  2. Sudip Kumar Ghosh
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  3. Sandip Chatterjee
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Corresponding author

Correspondence to Sandip Chatterjee.

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Hospital ethics board approval was obtained although it was a retrospective analysis of records.

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No external support or funding was utilised for this study. The authors deny any conflict of interest.

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Sil, K., Ghosh, S.K. & Chatterjee, S. Ventriculo-subgaleal shunts—broadening the horizons: an institutional experience. Childs Nerv Syst 37, 1113–1119 (2021). https://doi.org/10.1007/s00381-020-04929-4

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  • DOI: https://doi.org/10.1007/s00381-020-04929-4

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