Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
Ventriculosubgaleal shunt for post-infectious hydrocephalus in pediatric patients: a systematic review.
СтатьяСистематический обзорПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Campos Pedro Lucas, Lobo Kaike, Santos Cláudia, Oliveira Larah, Silva Vithor E B
Аннотация
UNLABELLED: 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.
METHODS: We 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.
RESULTS: Seven 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%.
CONCLUSION: As 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.
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.
METHODS: We 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.
RESULTS: Seven 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%.
CONCLUSION: As 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.