There is elevated risk of shunt infection associated with shunt revisions observed in clinical practice. To reduce risk of infection risk, further work should optimize revision procedures 1).
see Preventable Shunt Revision Rate.
The decision to admit a shunt-treated patient from the emergency department for symptoms related to idiopathic intracranial hypertension (IIH) is challenging. Knowledge of factors associated with the need for admission and/or shunt revision is required. In a study, factors such as male sex, younger age at presentation, lower number of prior emergency department visits, and performance of a diagnostic LP were independent predictors of admission. In addition, papilledema was strongly predictive of the need for shunt revision, highlighting the importance of an ophthalmological examination for shunt-treated adults with IIH who present to the emergency department 2).