Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020000100009 |
Resumo: | Abstract Introduction: Cerebral hydrodynamics complications in shunted patients are due to the malfunction of the system. The objective of this retrospective, single-center, single-arm cohort study is to confirm the safety and performance of Sphera® Duo when used in adult patients suffering from hydrocephalus, pseudotumor cerebri or arachnoid cysts. Methods: Data were generated by reviewing 112 adult patient’s charts, who were submitted to a ventriculoperitoneal shunt surgery and followed for one year after surgery. Results: The results show us that 76% of patients had their neurological symptoms improved and that the reoperation rate was 15% in the first year following surgery. Discussion: Sphera Duo® shunt system is an applicable shunt option in routine neurosurgical management of hydrocephalus by several causes. It has presented good results while mitigating effects of overdrainage. Overdrainage is especially important in adults with non-hypertensive hydrocephalus and can cause functional shunt failure, which causes subnormal ICP (particularly in the upright position) and is associated with characteristic neurological symptoms, such as postural headache and nausea. Conclusion: Sphera Duo® shunt system is safe when used in adult patients suffering from hydrocephalus, pseudotumor cerebri or arachnoid cyst. |
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Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shuntventriculoperitoneal shuntcomplicationsreoperationoutcomeAbstract Introduction: Cerebral hydrodynamics complications in shunted patients are due to the malfunction of the system. The objective of this retrospective, single-center, single-arm cohort study is to confirm the safety and performance of Sphera® Duo when used in adult patients suffering from hydrocephalus, pseudotumor cerebri or arachnoid cysts. Methods: Data were generated by reviewing 112 adult patient’s charts, who were submitted to a ventriculoperitoneal shunt surgery and followed for one year after surgery. Results: The results show us that 76% of patients had their neurological symptoms improved and that the reoperation rate was 15% in the first year following surgery. Discussion: Sphera Duo® shunt system is an applicable shunt option in routine neurosurgical management of hydrocephalus by several causes. It has presented good results while mitigating effects of overdrainage. Overdrainage is especially important in adults with non-hypertensive hydrocephalus and can cause functional shunt failure, which causes subnormal ICP (particularly in the upright position) and is associated with characteristic neurological symptoms, such as postural headache and nausea. Conclusion: Sphera Duo® shunt system is safe when used in adult patients suffering from hydrocephalus, pseudotumor cerebri or arachnoid cyst.Academia Brasileira de Neurologia - ABNEURO2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020000100009Arquivos de Neuro-Psiquiatria v.78 n.1 2020reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x20190135info:eu-repo/semantics/openAccessPINTO,Fernando Campos GomesOLIVEIRA,Matheus Fernandes deCASTRO,João Paulo Souza deMORAIS,João Vitor RochaPINTO,Flávia Morais GomesTEIXEIRA,Manoel Jacobseneng2020-02-11T00:00:00Zoai:scielo:S0004-282X2020000100009Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2020-02-11T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt |
title |
Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt |
spellingShingle |
Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt PINTO,Fernando Campos Gomes ventriculoperitoneal shunt complications reoperation outcome |
title_short |
Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt |
title_full |
Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt |
title_fullStr |
Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt |
title_full_unstemmed |
Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt |
title_sort |
Clinical performance of fixed-pressure Sphera Duo® hydrocephalus shunt |
author |
PINTO,Fernando Campos Gomes |
author_facet |
PINTO,Fernando Campos Gomes OLIVEIRA,Matheus Fernandes de CASTRO,João Paulo Souza de MORAIS,João Vitor Rocha PINTO,Flávia Morais Gomes TEIXEIRA,Manoel Jacobsen |
author_role |
author |
author2 |
OLIVEIRA,Matheus Fernandes de CASTRO,João Paulo Souza de MORAIS,João Vitor Rocha PINTO,Flávia Morais Gomes TEIXEIRA,Manoel Jacobsen |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
PINTO,Fernando Campos Gomes OLIVEIRA,Matheus Fernandes de CASTRO,João Paulo Souza de MORAIS,João Vitor Rocha PINTO,Flávia Morais Gomes TEIXEIRA,Manoel Jacobsen |
dc.subject.por.fl_str_mv |
ventriculoperitoneal shunt complications reoperation outcome |
topic |
ventriculoperitoneal shunt complications reoperation outcome |
description |
Abstract Introduction: Cerebral hydrodynamics complications in shunted patients are due to the malfunction of the system. The objective of this retrospective, single-center, single-arm cohort study is to confirm the safety and performance of Sphera® Duo when used in adult patients suffering from hydrocephalus, pseudotumor cerebri or arachnoid cysts. Methods: Data were generated by reviewing 112 adult patient’s charts, who were submitted to a ventriculoperitoneal shunt surgery and followed for one year after surgery. Results: The results show us that 76% of patients had their neurological symptoms improved and that the reoperation rate was 15% in the first year following surgery. Discussion: Sphera Duo® shunt system is an applicable shunt option in routine neurosurgical management of hydrocephalus by several causes. It has presented good results while mitigating effects of overdrainage. Overdrainage is especially important in adults with non-hypertensive hydrocephalus and can cause functional shunt failure, which causes subnormal ICP (particularly in the upright position) and is associated with characteristic neurological symptoms, such as postural headache and nausea. Conclusion: Sphera Duo® shunt system is safe when used in adult patients suffering from hydrocephalus, pseudotumor cerebri or arachnoid cyst. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020000100009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020000100009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282x20190135 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.78 n.1 2020 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212785890263040 |