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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Treatment of cerebrospinal fluid shunting complications in a nigerian neurosurgery programme: Case illustrations and review
Pediatric Neurosurgery, Volume 44, No. 1, Year 2007
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Description
Background/Aims: For a century since the first cerebrospinal fluid (CSF) shunt surgery, ventriculoperitoneal (VP) shunt insertion for the treatment of hydrocephalus has routinely been performed. A lot of common and rare complications following this procedure have been reported in 24-47% of the cases. The aim of this paper was to present our experience with the treatment of hydrocephalus in our centre and highlight our management of two unusual complications with the available resources. Methods: Retrospective clinical review. Results: A total of 86 patients with hydrocephalus were seen in our unit. There were 52 males and 34 females (male:female ratio 3:2). The age of the patients ranged from 1 day to 68 years. The majority of the patients (92%) were below 5 years of age. Sixty-five patients had shunting procedures [VP shunt: 62 (95.4%); endoscopic third ventriculostomy: 3 (4.6%)]. Of the 62 patients with VP shunts, 16 (25.8%) had complications while 2 of the 3 patients with endoscopic third ventriculostomies had complications. The complications following the VP shunts were CSF shunt sepsis (n = 12; 19.4%), abdominal complications (n = 3; 4.8%), subdural haematoma (n = 2; 3.2%) and scalp necrosis in 1 patient. Conclusion: VP shunt procedures have come to stay and will remain with us despite recent advances such as endoscopic third ventriculostomy. Care should be taken to prevent all complications whether common or rare by paying particular attention to patient selection, shunt selection and surgical details. The adaptation of local technology and justified use of limited facilities and resources can go a long way in the management of both common and rare complications in developing nations. Copyright © 2008 S. Karger AG.
Authors & Co-Authors
Komolafe, Edward Oluwole
Nigeria, Ife
Lagere Post Office
Adeolu, Augustine Abiodun
Unknown Affiliation
Komolafe, Morenikeji Adeyoyin
Nigeria, Ife
Obafemi Awolowo University Teaching Hospitals Complex
Statistics
Citations: 43
Authors: 3
Affiliations: 2
Identifiers
Doi:
10.1159/000110660
ISSN:
10162291
Research Areas
Health System And Policy
Study Design
Cohort Study
Participants Gender
Male
Female