A second alternative is to attempt to slide a new ventricular catheter down the same tract following the removal of the old ventricular catheter. Factors such as time from the last surgery, and the presence of other possible causes of the fever, are taken into consideration. His last shunt surgery was in December. Once the infection is cleared, the new VP shunt is placed in the same site unless there are skin abnormalities. The following observations were statistically significant: 1 patients with normal pressure hydrocephalus had no complications from shunt surgery; 2 the number of shunt malfunctions was lower in patients with intracranial hemorrhages than in the other groups; 3 residents performed a higher number of inadequate operations than did specialists; and 4 the infection rate was higher among patients operated on by residents.
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A preoperative CSF specimen from a shunt tap should be obtained to exclude this possibility. Complications of endoscopic third ventriculostomy ETV An endoscopic third ventriculostomy ETV is a surgical procedure to create a small hole in the floor of your brain. Most of these complications were seen with the spring loaded distal shunt tubing, which now should be avoided. Slit-like ventricles, sometimes called slit-ventricle syndrome SVS , are most commonly a problem in young adults who have been shunted since childhood. There are two situations, however, which have a high incidence of leading to shunt failure, and elective revision should be considered. Pressure may sometimes build up rapidly resulting in loss of consciousness, and treatment is required as an emergency.
