Park Neuroscience Service, Park Clinic, Kolkata, India.
Childs Nerv Syst. 2021 Apr;37(4):1113-1119. doi: 10.1007/s00381-020-04929-4. Epub 2020 Nov 13.
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.
Retrospective review of clinical cases in a single institution from medical records.
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.
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.
脑室-头皮下分流术是治疗低出生体重儿脑室内出血后脑积水的一种成熟方法，也用于治疗儿童感染后脑积水。我们旨在强调其在多种临床情况下广泛应用以减少婴儿永久性分流植入的数量。
对单一机构的病历进行回顾性临床病例分析。
低压阀系统的 VSG 分流术在各种婴儿脑积水（出血后、感染后、脊髓脊膜膨出后、分流管阻塞后、创伤后、脑肿瘤相关）中都很有用。相当数量的婴儿，特别是那些患有出血后脑积水和脊髓脊膜膨出后脑积水的婴儿，可以避免永久性分流管植入。
脑室-头皮下分流术是一种有效、风险较低的婴儿脑积水临时解决方案，可以用于儿童多种类型的脑积水，并有助于避免其中一些患者对分流管的依赖。
