Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study

Background: Shunt migration after Lumboperitoneal [LP] shunt procedures can occur upward into the spinal subarachnoid space and downward into the abdominal cavity. Cranial migrations are less common than downward migration into the abdominal cavity. Defects of the fixation devices in the shunt syste...

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Autores principales:	Mohamed Mansour, Mohammed Ahmed Alhady, Hatem Elkhouly
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	cerebrospinal fluid shunts ventriculoperitoneal thecoperitoneal tidal phenomena shunt Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/93ad7b903b194d3988a60616617afaa1
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spelling	oai:doaj.org-article:93ad7b903b194d3988a60616617afaa12021-12-02T13:52:45ZEffect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study2636-41742682-378010.21608/ijma.2020.20340.1049https://doaj.org/article/93ad7b903b194d3988a60616617afaa12020-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_69380_834b12d9095cf757b2f09743656eb381.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Shunt migration after Lumboperitoneal [LP] shunt procedures can occur upward into the spinal subarachnoid space and downward into the abdominal cavity. Cranial migrations are less common than downward migration into the abdominal cavity. Defects of the fixation devices in the shunt system are considered the main cause. Aim of the work: To evaluate fixed node maneuver, a new technique to avoid shunt migration. Patients and methods: Among many cases of shunt installations, we selected 30 patients who received a first-time shunt installation for different causes [pseudotumor cerebri [24 cases], primary cerebrospinal fluid [CSF] rhinorrhea [5 cases] and one case for persistent postoperative lumbar CSF leak]. All cases underwent LP shunt with fixed node in group [A; 15 patients] and the traditional mode of fixation in group [B; 15 patients], with evaluation of postoperative clinical improvement and shunt migration. Results: Clinical improvement occurred in 27 [90%] patients. However, shunt migration was recorded in 2 [13.3%] patients of the second group [B], while in group [A], no recorded shunt migration. Conclusion: We advocated clinical efficacy of fixed node maneuver of lumboperitoneal shunt to avoid shunt migration.Mohamed MansourMohammed Ahmed AlhadyHatem ElkhoulyAl-Azhar University, Faculty of Medicine (Damietta)articlecerebrospinal fluid shuntsventriculoperitonealthecoperitonealtidal phenomenashuntMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 1, Pp 260-264 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebrospinal fluid shunts ventriculoperitoneal thecoperitoneal tidal phenomena shunt Medicine (General) R5-920
spellingShingle	cerebrospinal fluid shunts ventriculoperitoneal thecoperitoneal tidal phenomena shunt Medicine (General) R5-920 Mohamed Mansour Mohammed Ahmed Alhady Hatem Elkhouly Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study
description	Background: Shunt migration after Lumboperitoneal [LP] shunt procedures can occur upward into the spinal subarachnoid space and downward into the abdominal cavity. Cranial migrations are less common than downward migration into the abdominal cavity. Defects of the fixation devices in the shunt system are considered the main cause. Aim of the work: To evaluate fixed node maneuver, a new technique to avoid shunt migration. Patients and methods: Among many cases of shunt installations, we selected 30 patients who received a first-time shunt installation for different causes [pseudotumor cerebri [24 cases], primary cerebrospinal fluid [CSF] rhinorrhea [5 cases] and one case for persistent postoperative lumbar CSF leak]. All cases underwent LP shunt with fixed node in group [A; 15 patients] and the traditional mode of fixation in group [B; 15 patients], with evaluation of postoperative clinical improvement and shunt migration. Results: Clinical improvement occurred in 27 [90%] patients. However, shunt migration was recorded in 2 [13.3%] patients of the second group [B], while in group [A], no recorded shunt migration. Conclusion: We advocated clinical efficacy of fixed node maneuver of lumboperitoneal shunt to avoid shunt migration.
format	article
author	Mohamed Mansour Mohammed Ahmed Alhady Hatem Elkhouly
author_facet	Mohamed Mansour Mohammed Ahmed Alhady Hatem Elkhouly
author_sort	Mohamed Mansour
title	Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study
title_short	Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study
title_full	Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study
title_fullStr	Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study
title_full_unstemmed	Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study
title_sort	effect of fixed node maneuver on migration of lumboperitoneal shunt: a pilot study
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/93ad7b903b194d3988a60616617afaa1
work_keys_str_mv	AT mohamedmansour effectoffixednodemaneuveronmigrationoflumboperitonealshuntapilotstudy AT mohammedahmedalhady effectoffixednodemaneuveronmigrationoflumboperitonealshuntapilotstudy AT hatemelkhouly effectoffixednodemaneuveronmigrationoflumboperitonealshuntapilotstudy
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Effect of Fixed Node Maneuver on Migration of Lumboperitoneal Shunt: A pilot study

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