Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele

Detalhes bibliográficos
Autor(a) principal: Melo,Jose Roberto Tude
Data de Publicação: 2015
Outros Autores: Pacheco,Pollyana, Melo,Emília Nunes de, Vasconcellos,Ângela, Passos,Rosane Klein
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=S0004-282X2015000900759
Resumo: Objective Hydrocephalus is one of the main complications associated with myelomeningocele (MM). This study aimed to identify clinical and ultrasonographic criteria for using ventriculoperitoneal (VP) shunts in this group of patients.Method A retrospective cohort study, based on established protocol for VP shunt implant in hydrocephalic children with MM. Parameters used to guide the indication of VP shunts included measurement of head circumference (HC), evaluation of fontanels, and measurement of lateral ventricular atrium (LVA) width by transcranial ultrasonography.Results 43 children were included in the analysis, of which 74% had hydrocephalus and required a VP shunt. These children had LVA width ≥ 15 mm, showed increased HC, or had bulging fontanels.Conclusion VP shunt is required in children with increased HC (≥ 2 standard deviation regarding age group), bulging fontanels, or LVA width of ≥ 15 mm after the closure of MM.
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spelling Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocelehydrocephalusepidemiologycongenital abnormalitiesmyelomeningoceleObjective Hydrocephalus is one of the main complications associated with myelomeningocele (MM). This study aimed to identify clinical and ultrasonographic criteria for using ventriculoperitoneal (VP) shunts in this group of patients.Method A retrospective cohort study, based on established protocol for VP shunt implant in hydrocephalic children with MM. Parameters used to guide the indication of VP shunts included measurement of head circumference (HC), evaluation of fontanels, and measurement of lateral ventricular atrium (LVA) width by transcranial ultrasonography.Results 43 children were included in the analysis, of which 74% had hydrocephalus and required a VP shunt. These children had LVA width ≥ 15 mm, showed increased HC, or had bulging fontanels.Conclusion VP shunt is required in children with increased HC (≥ 2 standard deviation regarding age group), bulging fontanels, or LVA width of ≥ 15 mm after the closure of MM.Academia Brasileira de Neurologia - ABNEURO2015-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000900759Arquivos de Neuro-Psiquiatria v.73 n.9 2015reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20150110info:eu-repo/semantics/openAccessMelo,Jose Roberto TudePacheco,PollyanaMelo,Emília Nunes deVasconcellos,ÂngelaPassos,Rosane Kleineng2015-08-31T00:00:00Zoai:scielo:S0004-282X2015000900759Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2015-08-31T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
title Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
spellingShingle Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
Melo,Jose Roberto Tude
hydrocephalus
epidemiology
congenital abnormalities
myelomeningocele
title_short Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
title_full Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
title_fullStr Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
title_full_unstemmed Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
title_sort Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
author Melo,Jose Roberto Tude
author_facet Melo,Jose Roberto Tude
Pacheco,Pollyana
Melo,Emília Nunes de
Vasconcellos,Ângela
Passos,Rosane Klein
author_role author
author2 Pacheco,Pollyana
Melo,Emília Nunes de
Vasconcellos,Ângela
Passos,Rosane Klein
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Melo,Jose Roberto Tude
Pacheco,Pollyana
Melo,Emília Nunes de
Vasconcellos,Ângela
Passos,Rosane Klein
dc.subject.por.fl_str_mv hydrocephalus
epidemiology
congenital abnormalities
myelomeningocele
topic hydrocephalus
epidemiology
congenital abnormalities
myelomeningocele
description Objective Hydrocephalus is one of the main complications associated with myelomeningocele (MM). This study aimed to identify clinical and ultrasonographic criteria for using ventriculoperitoneal (VP) shunts in this group of patients.Method A retrospective cohort study, based on established protocol for VP shunt implant in hydrocephalic children with MM. Parameters used to guide the indication of VP shunts included measurement of head circumference (HC), evaluation of fontanels, and measurement of lateral ventricular atrium (LVA) width by transcranial ultrasonography.Results 43 children were included in the analysis, of which 74% had hydrocephalus and required a VP shunt. These children had LVA width ≥ 15 mm, showed increased HC, or had bulging fontanels.Conclusion VP shunt is required in children with increased HC (≥ 2 standard deviation regarding age group), bulging fontanels, or LVA width of ≥ 15 mm after the closure of MM.
publishDate 2015
dc.date.none.fl_str_mv 2015-09-01
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=S0004-282X2015000900759
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000900759
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0004-282X20150110
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.73 n.9 2015
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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