Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 4 Issue 1

External Shunt Complications in a Series of 100 Cases

Mohameth Faye, Mualaba Celebre*, Yakhya Cissé, Alioune Badara Thiam, Momar Codé Ba and Seydou Boubacar Badiane

Neurosurgery Department, Fann University Hospital, Dakar, Senegal

*Corresponding Author: Mualaba Celebre, Neurosurgery Department, Fann University Hospital, Dakar, Senegal.

Received: September 16, 2020; Published: January 01, 2021

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Abstract

Introduction: The external ventricular shunt is an emergency procedure allowing the evacuation of cerebrospinal fluid to the outside by placing a ventricular catheter connected to an external drainage bag. There are several factors which may be responsible for the occurrence of complications. The aim of our study was to collect all the external ventricular shunts performed in neurosurgery, to work on their different complications and to establish a comparison with the data in the literature.

Materials and Methods: This was a descriptive study using a retrospective approach about a period of 8 years, from January 2010 to December 2018, on the files of patients who had received an EVS during their hospitalisation at the neurosurgery clinic of the Fann hospital in Dakar.

Results: During our study period 100 patients benefited External Ventricular Shunts that represented 8.8% frequency of EVS with an average age of 30.19 years, a male predominance, a sex ratio M/F of 1.12. Thirty EVS were complicated, i.e. 30%, and mechanical complications represented 50% of the complications compared with 40% of those that were infectious. The management of infectious complications with biologic antibiotic therapy was the effective means and the average duration of treatment was 18 days. The post-therapy evolution had found a cure in 47% and the death rate in 53%.

Conclusion: The frequency of complications related to EVS has shown us that they are not part of negligible surgical procedures, which can be placed in any condition and left unattended. It is important that this procedure be performed in an aseptic technical platform environment, by a well experienced surgeon and for a short period of time, while insisting on close monitoring and reduction of time in place.

Keywords: External Ventricular Shunt; Complications; Neurosurgery; Dakar

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References

  1. Lozier AP., et al. “Ventriculostomy-related infections: a critical review of the literature”. Neurosurgery 1 (2002): 170-181.
  2. Sundgarg G., et al. “Complication due to Prolonged Ventricular fluid Pressure Recording”. British Journal of Neurosurgery 2 (1988): 485-495.
  3. Lankiang JD. “The external ventricular shunt after cerebromeningeal hemorrhage: indications, results. Retrospective study on 30 patients in the neurosurgery department of the CHNU DE Fann”. Med thesis Ucad (2015): 127.
  4. Smielewski P., et al. “Evaluation of the transient hyperemic response to test in head injured patients”. Journal of Neurosurgery 86 (1997): 773-778.
  5. Browd SR., et al. “Failure of cerebrospinal fluid shunts: part I: obstruction and mechanical failure”. Pediatric Neurology 34 (2006): 83-92.
  6. Rosner MJ. “Cyclic CSF pressure waves causally relate to systemic arterial blood pressure”. In: Avezaat CJ, Eijndhoven JH, Mass AI, Tans editions. ICP VIII. Berlin: Spinger-verlag (1991): 414-417.
  7. Holloway KL., et al. “Ventriculostomy infections: the effect of monitoring duration and catheter exchange in 584 patients”. Journal of Neurosurgery 3 (1991): 419-424.
  8. Tunkel AR., et al. “Pratice guidelines for the management of bacterial meningitis”. Clinical Infectious Diseases 9 (2004): 1267-1284.
  9. Yoshihara M., et al. “Cerebrovascular carbon dioxide reactivity assessed by intracranial pressure dynamics in severely head injured patients”. Journal of Neurosurgery 82 (1995): 386-393.
  10. Bradley EW and Dale M. “Swift complications of ventricular shunt techniques in Neurosurgery 7.3 (2001): 224-242.
  11. Rebuck JA., et al. “Infection related to intracranial pressure monitors in adults: analysis of risk factors and antibiotic prophylaxis”. Journal of Neurology, Neurosurgery, and Psychiatry 3 (2000): 3816-3814.
  12. Luxembourger P. “Infection on external ventricular shunt in resuscitation, retrospective mono-centricular study over 4 years”. Med thesis, university of Lorraine (2015): 44.
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Citation

Citation: Mouhameth Faye., et al. “External Shunt Complications in a Series of 100 Cases". Acta Scientific Neurology 4.1 (2021): 50-54.




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Acceptance rate32%
Acceptance to publication20-30 days
Impact Factor0.844

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