Aurangzeb Kalhoro, Sanam B Rajper, Abdul Sattar M Hashim.
Six Years Experience of Ventriculoperitoneal Shunt in Children with Hydrocephalus- a Single Center study from Developing Country.
Pak Paed J Jan ;45(4):474-8.

Objective: To determine etiology, clinical presentation and outcome of Ventriculoperitoneal shunt in hydrocephalus during one year follow up. Study Design: This was cohort study. Place and Duration of Study: Neurospinal & Cancer Care Institute, Karachi, from May 2013 to May 2019. Material and Methods: Patient aged one day of life to fifteen years with hydrocephalus were included in the study. Patient with history of previously operated hydrocephalus, coagulopathy and infected CSF were excluded. Sample size was 160. Patients were followed post-operative for 12 months. Structured proforma was used. Data was analyzed on SSPS 22. Results: A total of 160 patients were included. Ages ranged was from 7days to 15years. Congenital hydrocephalus was 60.6% and meningomyocele was in 24.3%. Shunt complication was seen in 16% of patient; among them 11% had meningitis, shunt malfunction in 4.4% and pseudocyst was found in 0.6% patient. Infection was found more in patients from rural area (p<0.05) and there was no correlation seen between type of hydrocephalus with complication (p>0.05). Conclusion: Most common etiology was congenital hydrocephalus. Hydrocephalus with meningomyocele was found in 24%. Infection was more commonly seen in patients from rural area.

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