Evidence map›Paper›PMID 41824070›Full record

SynthesisChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2026

Ventriculosubgaleal shunt for post-infectious hydrocephalus in pediatric patients: a systematic review.

Pedro Lucas Campos, Kaike Lobo, Cláudia Santos, Larah Oliveira, Vithor E B Silva

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Pedro Lucas CamposDepartment of Medicine, Federal University of Mato Grosso, Cuiabá, Mato Grosso, Brazil. pedrolucasiozzo@gmail.com.ORCID 0000-0001-9303-1102
Kaike LoboDepartment of Medicine, State University of Pará (UEPA), Belém, Pará, Brazil.ORCID 0009-0000-4844-2877
Cláudia SantosDepartment of Medicine, FG University Center (UNIFG), Brumado, Bahia, Brazil.ORCID 0009-0001-4720-5711
Larah OliveiraDepartment of Medicine, School of Medical Sciences of the Holy House of São Paulo (FCMSCSP), São Paulo, São Paulo, Brazil.ORCID 0009-0004-0543-4729
Vithor E B SilvaDepartment of Neurosurgery, Hospital Heliópolis, São Paulo, São Paulo, Brazil.ORCID 0000-0002-1740-850X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ventriculosubgaleal shunt for post-infectious hydrocephalus in pediatric patients: a systematic review. PURPOSE: Ventriculosubgaleal shunting (VSGS) is commonly used as a temporary diversion of cerebrospinal fluid (CSF) in pediatric post-hemorrhagic hydrocephalus when ventriculoperitoneal shunt (VPS) is not possible or desirable. However, its role in post-infectious hydrocephalus (PIH) remains unclear. This systematic review aims to explore the current evidence of VSGS for the treatment of pediatric PIH.

methodsWe searched PubMed, Embase, Cochrane, and Web of Science for studies involving VSGS use in pediatric patients with PIH. Main outcomes were conversion to VPS and mortality. Secondary outcomes were CSF leakage, shunt blockage, and revision of technique. Data was summarized using R statistical software.

resultsSeven studies comprising 266 patients were included, of which 6 were case series. Follow-up ranged from 6 to 48 months. Conversion to VPS ranged from 50 to 100% and mortality ranged from 0 to 44.4%. Revisions of technique were required in 10.2% of patients, shunt obstruction occurred in 5.3%, and CSF leakage in 10.5%.

conclusionAs far as we know, this is the first systematic review focusing on the use of VSGS in PIH pediatric patients. Main findings were conversion to VPS range from 50 to 100% and mortality range from 0 to 44.4%. High heterogeneity and lack of comparative studies on diversion techniques in PIH highlight the need for further research to achieve a better understanding of VSGS in PIH treatment.

Indexed as

Cerebrospinal Fluid ShuntsHydrocephalusVentriculoperitoneal ShuntChildHumansPediatricsPost-infectious hydrocephalusVentriculosubgaleal shunting

Identifiers

PMID41824070

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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.