Evidence map›Paper›PMID 36214898›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2022

Ventriculosubgaleal shunt as a proposed technique for post-infectious hydrocephalus.

Mohamed Mohsen Amen, Ahmed Zaher, Hatem Ibraheem Badr, Mohammad Fekry Elshirbiny, Ahmed Mahmoud Elnaggar, Amr Farid Khalil

Abstract read
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Comparative study between ventriculosubgaleal shunt and external ventricular drain for management of post infective hydrocephalus among pediatrics.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Trial
  2. Intraventricular administration of SHED-derived mesenchymal stem cells in neonatal post- infectious hydrocephalus: a first-in-human case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mohamed Mohsen AmenNeurosurgery Department, Mansoura University, Mansoura, Egypt. dr.mo.mohsen@gmail.com.
Ahmed ZaherNeurosurgery Department, Mansoura University, Mansoura, Egypt.
Hatem Ibraheem BadrNeurosurgery Department, Mansoura University, Mansoura, Egypt.
Mohammad Fekry ElshirbinyNeurosurgery Department, Mansoura University, Mansoura, Egypt.
Ahmed Mahmoud ElnaggarNeurosurgery Department, Mansoura University, Mansoura, Egypt.ORCID http://orcid.org/0000-0001-6639-4709
Amr Farid KhalilNeurosurgery Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of post-infectious hydrocephalus (PIH) remains challenging for neurosurgeons. It requires a temporary diversion procedure till the normalization of CSF parameters prior to the permanent one. Ventriculosubgaleal shunt (VSGS) was widely used in pediatric cases with post-hemorrhagic hydrocephalus (PHH). However, its role in PIH is still lacking. This study was done to elucidate the safety and efficacy of VSGS as a temporary CSF diversion procedure before the permanent one in patients with PIH. PATIENTS AND

methodsThis retrospective investigation analyzed the data of 50 consecutive cases who underwent VSGS for PIH.

resultsThe age of the included patients ranged between 1 and 10 months. Twenty-six cases had meningitis and or ventriculitis (52%), while the remaining had shunt infection. At follow-up, arresting of hydrocephalus was noted in ten patients (20%), while another 36 cases required the permanent diversion procedure within 35 days. Regarding the shunt complications, scalp infection, tissue breakdown, and shunt exposure were encountered in ten cases (20%), while CSF leakage was noted in 12 cases (24%). Shunt migration was noted in only two patients (4%). Shunt revision was needed in 16 cases (32%). Mortality was encountered in four cases (8%) because of sepsis. Risk factors for morbimortality included younger age, lower weight, male gender, and meningitis and or ventriculitis.

conclusionVSGS is a safe and effective procedure in infants awaiting definitive VPS for postinfectious hydrocephalus. It was proven that VSGS has shortened the hospital stay and the economic burden on the country.

Indexed as

Cerebral VentriculitisHydrocephalusMeningitisCerebrospinal Fluid ShuntsChildHumansInfantMaleRetrospective StudiesVentriculoperitoneal ShuntPost-infectious hydrocephalusVentriculosubgaleal shunt

Identifiers

PMID36214898
PMCPMC9617840

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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.