CLINICOPATHOLOGICAL STUDY OF HYDROCEPHALOUS & OUTCOME OF VENTRICULO-PERITONEAL SHUNT IN PATIENTS
Raj Kumar Mishra, Sona Kaushal Bharti* and Rangeel Singh Raina
Introduction: Hydrocephalous leads to increase in intracranial pressure and progressive enlargement of the head, headaches and convulsion which may also lead to death. Aims & Objective: To study the etiology and prevalence of hydrocephalous, and its management with ventriculo-Peritoneal Shunt along with final outcome in respect to re-operation, mortality and morbidity. Material & Methods: This prospective observational study was conducted to evaluate the operated patients of hydrocephalous from 1stOctober 2012 to 30thSeptember 2013. The enrolled patients were treated surgically by ventriculo-Peritoneal Shunt (V.P shunt) procedure and kept in follow up for assessment of outcome. The outcomes were assessed in terms of post operative complications, shunt survival time, and shunt blockage rate, number of reoperation and mortality. Results: Out of Forty (40) patients operated for hydrocephalus, most of the patients were of infancy age group (35%). Most common site for obstruction was aqueduct stenosis and most of obstructions were non- communicating type. Maximum number of patients clinically present with fever, increased head size headache and altered sensorium. Thirty one patients were successfully operated once only, whereas 05 patients were operated twice and03 patients were operated thrice. Twenty patients had complications (Headache, Seizure, Cranial Nerve palsy, extrusion) within 3 months of surgery while 08 patients had shunt blockage after 3 months of surgery. Conclusion: Predominantly paediatric age group were affected by hydrocephalous and it's of obstructive type mostly due to aqueductal stenosis. The majority of the patients operated for shunting were under satisfactory condition with single shunt surgery.
Keywords: Shunt, aqueduct, stenosis, complication.
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