From the Department of pediatric neurosurgery (Aljared), King Abdullah Specialist Children Hospital, from the College of Medicine (Albugami, Alwadi, Alrugaib), King Saud bin Abdulaziz University for Health Sciences, Riyadh, and from the College of Medicine (Alsuwailim), King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2021 Jan;26(1):31-35. doi: 10.17712/nsj.2021.1.20200099.
To determine the prevalence of shunt malfunction without change in ventricle size in imaging modalities, and its clinical presentation.
A cross-sectional study conducted at King Abdulaziz Medical City, Riyadh, from June 2015 to May 2019. Patient's demographics, clinical presentation and changes in ventricle size were collected. Statistical analysis was done using SPSS version 23.
The study included 42 patients who underwent shunt revision. Imaging showed no change in size in 10 (24%) patients, mild enlargement in 8 (19%), and obvious enlargement in 24 (57%). The mean age of diagnosis was 22±16.7. 55% of the patients were males, 45% females. The cause of the malfunction was ventricular catheter occlusion in 14 (34%) patients, 10 (24%) patients had valve-related malfunction, and peritoneal catheter occlusion was present in 6 (14%) patients, and 12 (28%) patients had a combination of the previously mentioned causes. Analysis of the association between ventricular size and headache, vomiting, seizure, confusion, and loss of consciousness in patients with unchanged ventricular size and those with increased ventricular size has shown no statistical significance.
Shunt malfunction without ventricular size change was observed in 24% of all shunt malfunction patients. In addition, there was no relationship between ventricular size and patient symptoms.
确定影像学无脑室大小改变的分流管故障的发生率及其临床表现。
这是一项在 2015 年 6 月至 2019 年 5 月期间于利雅得阿卜杜勒阿齐兹国王医疗城进行的横断面研究。收集了患者的人口统计学资料、临床表现和脑室大小变化情况。使用 SPSS 版本 23 进行统计分析。
本研究纳入了 42 例接受分流管修复的患者。影像学显示 10 例（24%）患者脑室大小无变化，8 例（19%）患者轻度增大，24 例（57%）患者明显增大。诊断时的平均年龄为 22±16.7 岁。55%的患者为男性，45%为女性。故障的原因是脑室导管阻塞 14 例（34%），瓣膜相关故障 10 例（24%），腹膜导管阻塞 6 例（14%），12 例（28%）患者存在上述两种或多种原因。分析脑室大小与头痛、呕吐、癫痫、意识混乱和意识丧失在脑室大小无变化和脑室大小增大的患者之间的关系显示无统计学意义。
在所有分流管故障患者中，有 24%的患者出现影像学无脑室大小改变的分流管故障。此外，脑室大小与患者症状之间没有关系。
