ReviewPediatric radiology2012
Neuroimaging of ventriculoperitoneal shunt complications in children.
Review in Pediatric radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Role of aquaporins in hydrocephalus: what do we know and where do we stand? A systematic review.Journal of neurology · 2021Pooled it
- Diagnostic Accuracy of Non-Invasive Thermal Evaluation of Ventriculoperitoneal Shunt Flow in Shunt Malfunction: A Prospective, Multi-Site, Operator-Blinded Study.Neurosurgery · 2020Trial
- Multimodality imaging of cerebrospinal fluid shunts: system evaluation and complications.Pediatric radiology · 2026Review
- Cerebrospinal Fluid Shunts: An Updated Radiologic Review of Devices, Malfunctions, and Complications.Korean journal of radiology · 2026Review
- Pediatric hydrocephalus and imaging evaluation of ventriculomegaly in the emergency setting.Pediatric radiology · 2026Review
- Venous 3D Phase Contrast Magnetic Resonance Angiography Increases Diagnostic Certainty in Children with Ventriculoperitoneal Shunt and Suspected Shunt Failure.Clinical neuroradiology · 2023Article
- Odd presentation of shunt malfunction: a case series and review of literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Review
- Cerebrospinal Fluid Shunt Infections in Children: Do Hematologic and Cerebrospinal Fluid White Cells Examinations Correlate With the Type of Infection?The Pediatric infectious disease journal · 2022Article
- Evaluation of Pediatric Imaging Modalities Practices of Radiologists and Technologists: A Survey-Based Study.Journal of multidisciplinary healthcare · 2022Article
- Transient ventriculoperitoneal shunt malfunction in a pediatric patient: An illustrative case.Surgical neurology international · 2022Article
- Pediatric Seizure Team-based Learning.Journal of education & teaching in emergency medicine · 2020Article
- Make and Break Your Own Hand: A Review of Hand Anatomy and Common Injuries.Journal of education & teaching in emergency medicine · 2020Article
- Refractory epilepsy associated with ventriculoperitoneal shunt over-drainage: case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019Article
- Noninvasive Thermal Evaluation of Ventriculoperitoneal Shunt Patency and Cerebrospinal Fluid Flow Using a Flow Enhancing Device.Neurosurgery · 2019Article
- The value of CSF flow studies in the management of CSF disorders in children: a pictorial review.Insights into imaging · 2019Review
- Two signs indicative of successful access in nuclear medicine cerebrospinal fluid diversionary shunt studies.Pediatric radiology · 2018Article
- Shunt Devices for Neurointensivists: Complications and Management.Neurocritical care · 2017Review
- Slit Ventricle Syndrome in Pediatric Patient Presenting with Only Visual Symptoms.Korean journal of ophthalmology : KJO · 2017Article
- Soluble membrane attack complex is diagnostic for intraventricular shunt infection in children.JCI insight · 2016Article
- Incisional Hernia Following Ventriculoperitoneal Shunt Positioning.Journal of radiology case reports · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The ventriculoperitoneal shunt is the mainstay of treatment for hydrocephalus. Despite its widespread use and safety record, it often malfunctions due to complications such as obstruction, breakage, migration and infection. This necessitates a systematic approach to diagnosing the etiology of shunt failure. Any evaluation should begin with an appraisal of the patient's symptoms. In acute malfunction, nausea, vomiting, irritability, seizures, headache, lethargy, coma and stupor are seen. In chronic malfunction, neuropsychological signs, feeding pattern changes, developmental delay, decline in school performance, headaches and increased head size are often seen. The next step in evaluation is a CT scan of the head to evaluate ventricular size. Prior imaging studies should be obtained for comparison; if the ventricles have enlarged over time, shunt malfunction is likely. If there is no such increase or dilation in the first place, other diagnoses are possible. However, "slit ventricle syndrome" should also be considered. When prior imaging is not available, pumping the reservoir, a radionuclide shuntogram, a shunt tap or even surgical exploration are options. The goals of this paper are to provide an algorithm for evaluating shunt malfunction and to illustrate the radiographic findings associated with shunt failure.
Indexed as
Identifiers
22740019What OpenQuestion holds
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.