Trial reportChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2008
Management of neonatal hydrocephalus: feasibility of use and safety of two programmable (Sophy and Polaris) valves.
Trial report in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed.
- The application of programmable shunts in the management of hydrocephalus in pediatric patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Development of shunt valves used for treating hydrocephalus: comparison with endoscopy treatment.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Review
- Infant hydrocephalus: what valve first?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Review
- Shunt technology for infants and a lifetime.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Surgical outcome of the shunt: 15-year experience in a single institution.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016Article
- Keeping CSF valve function with urokinase in children with intra-ventricular haemorrhage and CSF shunts.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2009Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNeonates represent a unique group of pediatric patients with special peculiarities. Hydrocephalus valves have not always been designed to meet the requirements of these small children. Few series have addressed the problem of cerebrospinal fluid shunting in newborn babies.
objectivesWe aimed (1) to evaluate the feasibility of the use of two programmable valves (Sophy and Polaris) in hydrocephalic neonates and (2) to ascertain complications and safety issues arising from their use. MATERIALS AND
methodsWe performed a prospective study of 100 consecutive preterm and term babies (<2 months of age) given a programmable valve. Valves' settings were readjusted at different pressure levels as required. Outcomes were obtained from the records of our Outpatient Clinic.
resultsThe study group was formed by 60 term and 40 preterm infants (average weight 2,440 g, mean age of 25 days). Mean follow-up was 55 months. Only one fifth deaths was shunt-related. In 70 babies, no complications occurred, and hydrocephalus was successfully controlled. Proximal catheter obstruction presented in 20% and infection in 5% of cases. Several external adjustments of the valves apparently avoided several surgical shunt revisions.
conclusions(1) Both programmable valves (Sophy and Polaris) can be safely used for treatment of neonatal hydrocephalus, introducing some technical modifications. (2) Both valves are comparable to other shunts with regard to indications, performance, and safety. (3) The possibility of modifying their working pressure seems to constitute their main advantage. Prevention of late overdrainage syndromes with these valves needs a longer follow-up.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.