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Cerebrospinal fluid shunt malfunctions: A reflective review

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Childs Nerv Syst. 2023 Jul 18. doi: 10.1007/s00381-023-06070-4. Online ahead of print.

ABSTRACT

PURPOSE: Pediatric hydrocephalus is a common and challenging condition. To date, the ventriculoperitoneal shunt (VPS) is still the main lifesaving treatment option. Nonetheless, it remains imperfect and is associated with multiple short- and long-term complications. This paper is a reflective review of the current state of the VPS, our knowledge gaps, and the future state of shunts in neurosurgical practice.

METHODS AND RESULTS: The authors’ reflections are based on a review of shunts and shunt-related literature.

CONCLUSION: Overall, there is still an urgent need for the neurosurgical community to actively improve current strategies for shunt failures and shunt-related morbidity. The authors emphasize the role of collaborative efforts amongst like-minded clinicians to establish pragmatic approaches to avoid shunt complications.

PMID:37462810 | DOI:10.1007/s00381-023-06070-4

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