Aa
A
A
Close
Avatar_universal
Complications with Shunt for Hydrocephalus
5 year old daughter - born with congential hydrocephalus - aqueductal stenosis, agenesis of the corpus callosum.  A programable shunt placed when she was 2 days old.  Revised at 3 months old due to a shift in the fluid to the subdural space caused by cyst.  CT scan shows severe midline shift.  Despite this, she is age approprite in most areas with some delays in small and gross motor skills.

June 23, she developed shunt infection so the shunt externalized for 2 weeks.  They had a difficult time controllng her ICP.  Vvery sensitive to small changes (best level for drain was at -3).  Symptoms were sleepieness, vomiting, drops in heart rate, and seizure.  New shunt was placed, home in 3 days, four days later, back in the hospital with vomiting, sleepieness.  CT scans her normal, shunt tap ok.  After a few days of more vomiting, sleepieness, drops in heart rate, and a couple more seizures, an external drain was put in to measure her ICP, showed spikes, especially while sleeping.  3 shunt revisions, one found a kink in catheter near neck, second showed proteinaceous debris in shunt resivoir, catheter in the head.  Third showed more debris so a non-programmable, low pressure VA shunt was placed.  Still in the hospital.  Partly because she has lost so much weight.  Things with shunt are better however, still having headache and vomiting.   Some days are fine and some days are not.  Now pumping shunt 30 times every three hours.  Also discovered via MRI a chiari malformation.   Doctor said not putting additional pressure on her brain.

1.  Why same type of shunt she had for 5 years now not work?
2.  Why can she go for 36 hours without vomitting and then wake up vomiting every 1/2 hour?
3.  If pumping helps, is this something that can resolve itself?
4.  Doc says next step is craniotomy which he is trying to avoid.  It is hard for me to travel with my daughter somewhere to get a second opinion.  Can doctor's give advice based on history, CT scans, and MRIs?

Cancel
1 Answers
Page 1 of 1
796253_tn?1344994932
Hi.  I think you should post your question in the neurosurgery expert forum (it is with the international forums).  I hope you get answers for you and your daughter.  
Comment
Cancel
796253_tn?1344994932
Comment
Comment
Submit Comment
Your Answer
Avatar_universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Complications with Shunt for Hydrocephalus
Submit Answer
A
A
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Pediatrics Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Children's Health Answerers