Lumboperitoneal shunts in children: a retrospective study
Abstract Background Lumboperitoneal shunts have been used as a valuable CSF diversion tool in the pediatric age group. This retrospective study reports the indications, outcomes, and possible complications of lumboperitoneal shunts placed in children. Results A total of 19 patients are included in o...
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SpringerOpen
2025-02-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-025-00367-z |
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| author | Mohammad Elbaroody Basem Ismail Alhayen Mohamed Eltoukhy Ahmed Atallah Hossam Eldin Mostafa Ahmed Mohamed Alselisly |
| author_facet | Mohammad Elbaroody Basem Ismail Alhayen Mohamed Eltoukhy Ahmed Atallah Hossam Eldin Mostafa Ahmed Mohamed Alselisly |
| author_sort | Mohammad Elbaroody |
| collection | DOAJ |
| description | Abstract Background Lumboperitoneal shunts have been used as a valuable CSF diversion tool in the pediatric age group. This retrospective study reports the indications, outcomes, and possible complications of lumboperitoneal shunts placed in children. Results A total of 19 patients are included in our study. 12 children were males (63.2%) and 7 were females (36.8%). The mean age at LP shunt placement was 5.7 years (6 months–12 years), and most of the children were in the school-age group 11 (57.9%). Idiopathic intracranial hypertension was the most identifiable cause in 9 cases (47.4%), and headache was the most common presenting symptom in 6 patients. The mean follow-up was 36.1 months (17–61 months). Two patients underwent shunt revision due to catheter migration, and three patients (15.8%) developed acquired Chiari malformation for whom the lumboperitoneal shunt was removed and replaced with a ventriculoperitoneal shunt; all the patients are doing well till the last follow-up. Conclusion Lumboperitoneal shunt insertion is a safe and valuable CSF diversion tool in children for various indications on the top of it is idiopathic intracranial hypertension. Long-term follow-up is required for the possibility of acquired Chiari malformation, and the presence of a horizontal–vertical valve could avoid this possible problem. |
| format | Article |
| id | doaj-art-21a66aa08f1349a0bcfa97e6a61497f1 |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
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| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-21a66aa08f1349a0bcfa97e6a61497f12025-02-09T12:25:17ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011710.1186/s41984-025-00367-zLumboperitoneal shunts in children: a retrospective studyMohammad Elbaroody0Basem Ismail Alhayen1Mohamed Eltoukhy2Ahmed Atallah3Hossam Eldin Mostafa4Ahmed Mohamed Alselisly5Department of Neurosurgery, Faculty of Medicine, Cairo UniversityDepartment of Neurosurgery, Faculty of Medicine, Cairo UniversityDepartment of Neurosurgery, Faculty of Medicine, Cairo UniversityDepartment of Neurosurgery, Faculty of Medicine, Cairo UniversityDepartment of Neurosurgery, Faculty of Medicine, Cairo UniversityDepartment of Neurosurgery, Faculty of Medicine, Cairo UniversityAbstract Background Lumboperitoneal shunts have been used as a valuable CSF diversion tool in the pediatric age group. This retrospective study reports the indications, outcomes, and possible complications of lumboperitoneal shunts placed in children. Results A total of 19 patients are included in our study. 12 children were males (63.2%) and 7 were females (36.8%). The mean age at LP shunt placement was 5.7 years (6 months–12 years), and most of the children were in the school-age group 11 (57.9%). Idiopathic intracranial hypertension was the most identifiable cause in 9 cases (47.4%), and headache was the most common presenting symptom in 6 patients. The mean follow-up was 36.1 months (17–61 months). Two patients underwent shunt revision due to catheter migration, and three patients (15.8%) developed acquired Chiari malformation for whom the lumboperitoneal shunt was removed and replaced with a ventriculoperitoneal shunt; all the patients are doing well till the last follow-up. Conclusion Lumboperitoneal shunt insertion is a safe and valuable CSF diversion tool in children for various indications on the top of it is idiopathic intracranial hypertension. Long-term follow-up is required for the possibility of acquired Chiari malformation, and the presence of a horizontal–vertical valve could avoid this possible problem.https://doi.org/10.1186/s41984-025-00367-zLumboperitonealShuntVentriculoperitonealPediatricIntracranial hypertensionPapilledema |
| spellingShingle | Mohammad Elbaroody Basem Ismail Alhayen Mohamed Eltoukhy Ahmed Atallah Hossam Eldin Mostafa Ahmed Mohamed Alselisly Lumboperitoneal shunts in children: a retrospective study Egyptian Journal of Neurosurgery Lumboperitoneal Shunt Ventriculoperitoneal Pediatric Intracranial hypertension Papilledema |
| title | Lumboperitoneal shunts in children: a retrospective study |
| title_full | Lumboperitoneal shunts in children: a retrospective study |
| title_fullStr | Lumboperitoneal shunts in children: a retrospective study |
| title_full_unstemmed | Lumboperitoneal shunts in children: a retrospective study |
| title_short | Lumboperitoneal shunts in children: a retrospective study |
| title_sort | lumboperitoneal shunts in children a retrospective study |
| topic | Lumboperitoneal Shunt Ventriculoperitoneal Pediatric Intracranial hypertension Papilledema |
| url | https://doi.org/10.1186/s41984-025-00367-z |
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