Cerebrospinal fluid shunt malfunction treatment
Simultaneously endoscopic lavage and shunt revision are effective methods in the treatment of shunt dysfunction in children. It is also superior to simple shunt revision for the risk of shunt dysfunction. More clinical studies are needed to verify this outcome 1).
ETV can be considered a primary treatment modality in children with shunt malfunction and has a good success rate in cases presenting with the closure of previously performed ETV stoma 2).
1)
Gezgin I, Dogan A. Endoscopic Lavage for the Treatment of Multiple Shunt Failures in Children. Turk Neurosurg. 2022 Dec 28. doi: 10.5137/1019-5149.JTN.42640-22.3. Epub ahead of print. PMID: 36799283.
2)
Shaikh S, Deopujari CE, Karmarkar V, Muley K, Mohanty C. Role of Secondary
Endoscopic Third Ventriculostomy in Children: Review of an Institutional
Experience. Pediatr Neurosurg. 2019 Jun 3:1-8. doi: 10.1159/000500641. [Epub
ahead of print] PubMed PMID: 31158842.