Cerebrospinal fluid shunt infections: A personal view

Ram Yogev*

*Corresponding author for this work

Research output: Contribution to journalArticle

81 Scopus citations

Abstract

A major breakthrough in the treatment of hydrocephalus occurred in 1957 when Pudenz et al.1described a new technique (ventriculoatriostomy) for shunting cerebrospinal fluid (CSF) into the right atrium. Although the procedure was effective, it was soon learned that serious complications (such as obstruction of the distal portion of the shunt, shunt nephritis, pulmonary emboli, perforation of the heart, infections with bacteremia) were frequent.2-4There-lore, in the late 1960's the peritoneal cavity gained popularity for the distal end of the shunt, and ventriculoperitoneal (VP) shunts came to be preferred.5,6Long term results with VP shunts showed them to have significant advantages compared with ventriculoatrial shunts.3,4,7However, infection continued to be a major problem, with no difference in incidence observed between ventriculoatrial and VP shunts3,4,8

Original languageEnglish (US)
Pages (from-to)113-118
Number of pages6
JournalPediatric Infectious Disease
Volume4
Issue number2
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Microbiology (medical)

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