Use of Ventriculoperitoneal Shunt Reservoir as an Alternative to Lumbar Puncture, Case Series

Year 2023, Volume: 6 Issue: 1, 172 - 174, 01.01.2023

Murat Duyan , Hakan Çakın , Nafis Vural , Ali Sarıdaş

https://doi.org/10.19127/bshealthscience.1201796

Abstract

Hydrocephalus is a common neurological disorder in both childhood and adulthood. Non-communicating hydrocephalus may occur due to obstruction of the cerebrospinal fluid (CSF) flow pathways by structural anomalies such as tumors, infections, adhesions, and developmental defects while communicating hydrocephalus might develop due to CSF absorption disorders or excess production. In symptomatic cases, treatment is divided into two approaches as medical and surgical. The most commonly used method in surgical treatment is the ventriculoperitoneal (VP) shunt system. The VP shunt system can have numerous advantages and complications and is expected to yield continuous and long-term solutions. One of its advantages is that CSF samples can be taken from the reservoir located on it. In cases suspected of intracranial infection but for whom Lumbar puncture (LP) cannot be performed, the shunt reservoir in the patient provides sufficient opportunity for CSF retrieval.

Keywords

Shunt tapping, Lumbar puncture, Emergency department, Hydrocephalus, Central nervous system infection

Supporting Institution

The authors declare no conflict of interest or any financial support.

Project Number

The authors declare no any financial support.

References

• Doherty CM, Forbes RB. 2014. Diagnostic lumbar puncture. Ulster Med J, 83(2): 93-102.
• Dorsett M, Liang SY. 2016. Diagnosis and treatment of central nervous system infections in the emergency department. Emerg Med Clin North America, 34(4): 917-942. DOI: 10.1016/J.EMC.2016.06.013.
• Ferras M, McCauley N, Stead T, Ganti L, Desai B. 2020. Ventriculoperitoneal shunts in the emergency department: A review. Cureus, 12(2): e6857. DOI: 10.7759/CUREUS.6857.
• Helweg-Larsen J, Astradsson A, Richhall H, Erdal J, Laursen A, Brennum J. 2012. Pyogenic brain abscess, a 15 year survey. BMC Infect Diseas, 12: 332. DOI: 10.1186/1471-2334-12-332.
• Kahle KT, Kulkarni AV, Limbrick DD, Warf BC. 2016. Hydrocephalus in children. Lancet, 387(10020): 788-799. DOI: 10.1016/S0140-6736(15)60694-8.
• Kazan S, Çakin H. 2015. Mechanical complications of shunt in hydrocephalus. Turkiye Klin Neurosurg, 5(1): 59-63.
• Khan B, Hamayun S, Haqqani U, Khanzada K, Ullah S, Khattak R, Zadran N, Bibi Z, Khan AW. 2021. Early complications of ventriculoperitoneal shunt in pediatric patients with hydrocephalus. Cureus, 13(2): e13506. DOI: 10.7759/CUREUS.13506.
• Ladde JG. 2020. Cardiovascular disease. in: Tintinalli JE, Ma OJ, Yealy DM, Meckler GD, Stapczynski JS, Cline DM, Thomas SH edition. Emergency medicine: A comprehensive study guide. McGraw-Hill Education, Columbus, US, pp: 2176.
• Ozdol C, Gediz T, Basak AT, Basak N, Aghayev K. 2019. Shunt tapping versus lumbar puncture for evaluating cerebrospinal fluid infections in a pediatric population. Turkish Neurosurg, 29(2): 275-278. DOI: 10.5137/1019-5149.JTN.24714-18.1.
• Solomon T, Michael BD, Smith PE, Sanderson F, Davies NWS, Hart IJ, Beeching NJ. 2012. Management of suspected viral encephalitis in adults-Association of British Neurologists and British Infection Association National Guidelines. Infection, 64(4): 347-373. DOI: 10.1016/J.JINF.2011.11.014.
• Takhar SS, Ting SA, Camargo CA, Pallin DJ. 2012. U.S. emergency department visits for meningitis, 1993-2008. Acad Emerg Med, 19(6): 632-639. DOI: 10.1111/J.1553-2712.2012.01377.X.
• URL1: https://texasnasc.com/?s=ventriculoperitoneal (access date: August 16, 2022).