VP Shunt Placement and the Incidence of Associated Complications in Patients Presenting in Mayo Hospital Lahore.

Muhammad Ashfaq Baig, Saria Yaqoob, Hafiz Rizwan Ul Haq

Abstract


Objective: The main aim of this study was to find the incidence of complications associated with VP shunt placement in patients presenting in Mayo Hospital Lahore.

Place and duration of study: This study was carried out in a duration of 9 months from February 2017 to October 2017 in Mayo Hospital Lahore.

Materials and Methods: The patients with one year or age less than one year either male of female were included in this study and only those patients were included in which suspicion of hydrocephalus was noted on the basis of clinical signs and symptoms which includes vomiting of feeding, irritability, engorged veins of scalp, decreased head control, splayed cranial sutures and deviation of the eyes inferiorly in which is known as sun setting sign. CT scan was done in these patients for confirmation of the diagnosis which showed ventricles filled with fluid and dilated plains of the brain. Ventro-peritoneal shunt was inserted in all these patients and complications were noted on the follow ups.

Results: A total of 100 patients were selected for the study who were fulfilling the criteria and among them 80 (80%) of the patients had no complications while 20 (20%) of the patients had some kind of associated complication. In patients with age less than 2 years complications were seen in 12 (22.22%) of the patients. Complications in age group 2-15 years was seen in 6 patients (20%). And only 2 (12.5%) patients showed complications who had age greater than 15 years. 11 (15.71%) male patients showed complications among all the 70 (70%) males included in this study. 30 (30%) were the female patients and 9 (30%) patients showed complications.

Conclusion: Increased rate of post VP shunt complications are seen in our study. Although highest incidence was seen in age group less than 2 years but no significant relation is seen in VP shunt complications and age group. In males high incidence rate is seen as compared to females.


Keywords


Hydrocephalus, VP shunt, Complications

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