ReviewJournal of clinical medicine2021
Shunt Overdrainage: Reappraisal of the Syndrome and Proposal for an Integrative Model.
Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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.
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Who cites it
19 citing papers in PubMed, 39 citations in OpenAlex.
- Ventricular volumetry in relation to clinical response and overdrainage after shunt surgery in idiopathic normal-pressure hydrocephalus: a three-year prospective study.Fluids and barriers of the CNS · 2026Article
- Diagnostic Challenges and Surgical Outcomes of Miyazaki Syndrome: A Report of Two Cases and a Systematic Review.Cureus · 2026Article
- Evaluating the additive properties of differential pressure valves in a novel benchtop shunt model.Fluids and barriers of the CNS · 2026Article
- Incidence and management of overdrainage in pediatric hydrocephalus patients exclusively treated with modern gravitational VP shunt valves.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Occipital shuntalgia: Rethinking post-shunt occipital headache etiology and care.Acta neurochirurgica · 2026Article
- Clinical profile and final diagnoses of hospitalized patients with a chief complaint of headache, an experience from a headache tertiary center in Iran.BMC neurology · 2026Article
- A retrospective longitudinal analysis of risk factors, treatment outcomes and imaging parameters of ventricular collapse in idiopathic intracranial hypertension.Fluids and barriers of the CNS · 2025Article
- VIEshunt: towards a ventricular intelligent and electromechanical shunt for hydrocephalus therapy.Fluids and barriers of the CNS · 2025Article
- Long-term outcome of cerebrospinal fluid diversion in patients with intracranial germinoma at Ramathibodi Hospital.Langenbeck's archives of surgery · 2025Article
- Case report: CSF hypotension secondary to a free syringo-subarachnoid-peritoneal shunt.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Paediatric hydrocephalus.Nature reviews. Disease primers · 2024Review
- Chronic Pediatric Headache as a Manifestation of Shunt Over-Drainage and Slit Ventricle Syndrome in Patients Harboring a Cerebrospinal Fluid Diversion System: A Narrative Literature Review.Children (Basel, Switzerland) · 2024Review
- Comparing the Long-Term Cardiovascular Outcomes of Lumbo-Peritoneal, Ventriculo-Peritoneal, or Non-Shunting Treatment after Idiopathic Normal Pressure Hydrocephalus: A Nationwide Retrospective Cohort Study.International journal of medical sciences · 2024Article
- Article
- The Role of Antisiphon Devices in the Prevention of Central Ventricular Catheter Obliteration for Hydrocephalus: A 15-Years Institution's Experience Retrospective Analysis.Children (Basel, Switzerland) · 2022Article
- Differential Diagnosis of Cyclic Vomiting and Periodic Headaches in a Child with Ventriculoperitoneal Shunt: Case Report of Chronic Shunt Overdrainage.Children (Basel, Switzerland) · 2022Article
- About gladiators and a sacred disease.Biomedical journal · 2022Article
- A case of hydrocephalus confounded by suprasellar arachnoid cyst and concomitant reversible cerebral vasoconstriction syndrome.Surgical neurology international · 2022Article
- Risk factors, treatment, and outcome in dogs and cats with subdural hematoma and hemispheric collapse after ventriculoperitoneal shunting of congenital internal hydrocephalus.Journal of veterinary internal medicineArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although shunt overdrainage is a well-known complication in hydrocephalus management, the problem has been underestimated. Current literature suggests that the topic requires more examination. An insight into this condition is limited by a lack of universally agreed-upon diagnostic criteria, heterogeneity of published series, the multitude of different management options and misunderstanding of relationships among pathophysiological mechanisms involved. We carried out a review of the literature on clinical, radiological, intracranial pressure (ICP), pathophysiological and treatment concepts to finally propose an integrative model. Active prophylaxis and management are proposed according to this model based on determination of pathophysiological mechanisms and predisposing factors behind each individual case. As pathophysiology is progressively multifactorial, prevention of siphoning with gravitational valves or antisiphon devices is mandatory to avoid or minimize further complications. Shunt optimization or transferal and neuroendoscopy may be recommended when ventricular collapse and cerebrospinal fluid isolation appear. Cranial expansion may be useful in congenital or acquired craniocerebral disproportion and shunting the subarachnoid space in communicating venous hydrocephalus and idiopathic intracranial hypertension.
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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.