Comparison of Low – Versus Medium-Pressure Shunts in Pediatric Hydrocephalus – A Study of the Children Hospitals, Lahore

Authors

  • Mian Awais Pediatric Neurosurgery Department , The Children's Hospital and Institute of Child Health Lahore
  • Akhtar Muner Department of Pediatric Neurosurgery, The Children Hospital and The institute of Child Health, Lahore
  • Laeeq-ur -Rehman Department of Pediatric Neurosurgery, The Children Hospital and The institute of Child Health, Lahore
  • Akmal Hussain
  • Ihsan Ullah
  • Lubna Ijaz Department of Pediatric Neurosurgery, The Children Hospital and The institute of Child Health, Lahore

DOI:

https://doi.org/10.36552/pjns.v25i2.553

Keywords:

Hydrocephalus, shunt device pressures

Abstract

Objective:  This prospective cross-sectional study was aimed to assess the effectiveness of low-pressure vs. medium-pressure shunts in children with hydrocephalus.

Material and Methods: 52 children with different types of hydrocephalus were admitted through OPD and Surgical emergency at The Children Hospital, Lahore. All Children were gone through Ultrasonography and CT Brain plain after admission. The pediatric hydrocephalus was resolved into two groups. All patients treated with Chhabra differential pressure VP (ventriculoperitoneal) shunt in either low pressure or medium pressure. CT scans were used to assess the postoperative clinical and radiological outcomes to monitor the ventricle hemispheric ratio (VHR).

Results:  A low-pressure shunt was implanted in 26 individuals, whereas a medium-pressure shunt was implanted in 26 individuals. Patients varied in age from one day to thirteen years old. In group A, the average VHR was 57.58% preoperatively, but it dropped to 42.88% after surgery. Similarly, in group B, the pre-and postoperative VHR was 59.35% and 42.81%, respectively, which was statistically significant. In both groups, the incidence of shunt complications and redo shunt operation were not statistically significant.

Conclusion:  In this study, individuals with pediatric hydrocephalus who had a low-pressure shunt or a medium-pressure shunt had similar outcomes.

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Published

2021-06-25

Issue

Vol. 25 No. 2 (2021): April-June

Section

Original Articles

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The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).