EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57

Abstract

CLINICOPATHOLOGICAL STUDY OF HYDROCEPHALOUS & OUTCOME OF VENTRICULO-PERITONEAL SHUNT IN PATIENTS

Raj Kumar Mishra, Sona Kaushal Bharti* and Rangeel Singh Raina

ABSTRACT

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.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)