Subduroperitoneal shunts for subdural hematomas in infants | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn

Subduroperitoneal shunts for subdural hematomas in infants | Website Bệnh viện nhi đồng 2 - www.benhviennhi.org.vn tài l...

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Subduroperitoneal shunts for subdural hematomas in infants

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See Seas) nin ae

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SDP shunts for SDH in infants -Chronic subdural hematoma (treatment ):

-subdural drain : -burr holes :

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SDP shunts for SDH in infants

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SDP shunts for SDH in infants

-Complication of SDP Shunt :

-Undershunting

-Infection

-Seizures

-Problems related to the distal catheter

-Skin breakdown over hardware

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Factors influencing the complication rate of subduroperitoneal shunt

placement for the treatment of

subdural hematomas in infants

SENTA KURSCHEL, M.D STEPHANIE PUGET, M.D MARIE BOURGEOIS, M.D MICHEDZERAH, M.D PETRA OFNER

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To G, /Clinical Materialand.Methods

161 infants

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Causes of SDH

Presenting Symptoms of SDH: status epilepticus

Neuroimaging Findings:

-Areas of high density in the subdural fluid collections

-Ischemic injury

-Cerebral atrophy and ventricular dilation

- large- and medium-sized residual SDHs

Prior Attempts at Drainage

Surgical Treatment

Shunt-Related Complications: ˆ

Duration of Shunt Treatment: 6 41s ( 0-31 ms)

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- Shunt-Related Complications : obstruction infection disconnection migration CSF leak/skin ulceration

subdural symptomatic rebleeding

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Other Treatment Measures for SDH :

- Subdural puncture : other failure rate :6.7-100%

bleeding -infection :25% - bur hole drainage

-ESD:failure rate :5.6-49%—SDP shunt

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The early placement of an SDP shunt is in our opinion the

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