Doctor insights on:
What Are The Most Common Complications Of Shunt Placement In Adults
Why does one have to stay flat for 24 hours after vp shunt placement? Afterwards, what happens when they elevate upright/lie back down?
Can people change after surgery for a vp shunt placement? are there any effects from the surgery? I have changed since mine im not the same person
Yes maybe medication: Yes people can change, but medications are sometimes prescribed that make people feel different. Please speak with your doctor ...Read more
Is that normal to have changes after a VP shunt placement I changed like I get mood changes an weak and numb on one side ,effects like a brain injury?
No. You may have : fluctuations in intracranial pressure, so tell your neurosurgeon. I have a family member with a V-P shunt who had persistent one-sided headaches for a few months, for which no anatomical reason was found. But it's vitally important to check for shunt problems whenever you experience new medical or behavioral symptoms. See http://www.hydroassoc.org. When in doubt, always check it out. ...Read more
Is it common for a patient to undergo random extremely painful episodes then minimal to no pain at all after vp shunting?
Unusual: It depends where the pain is. If it is in the scalp or along the pathway of the shunt-this may be some local irritation of the tissue around the shunt. If there is abdominal pain this may be from irritation of the peritoneum by the distal shunt catheter. If it is inside the head , like a pressure sensation-this may be intermittent build-up of fluid before the shunt valve is "triggered" to drain. ...Read moreSee 1 more doctor answer
I'm wondering why can't you do an IV on a fistula/shunt and if you do are there any complications?
Here's why: Here's why we don't place IVs in fistula/shunt. First, blood flow is high pressure in them and would force blood backward through IV. Second, placing an IV into the fistula/shunt by staff who aren't used to it often injures the fistula/shunt resulting in issues like pseudoaneurysms. Shunts/fistulae are important so we save them for your dialysis! ...Read more
Very few: This is entirely up to your surgeon of course, and will depend on the reason the shunt was put in to begin with, but shunts are put in to improve lifestyle and mobility. So barring anything unforseen, you should enjoy increased activity not limitations. ...Read more
Depends on Diagnosis: There are several types of hydrocephalus in adults. Shunting is typically most successful in patients with acquired hydrocephalus (e.g., hydrocephalus from a brain tumor, bleed, etc) and much less successful in patients with normal pressure hydrocephalus. You will need to further discuss this subject with your neurosurgeon ...Read moreSee 1 more doctor answer
Only if necessary: Hydrocephalus is a complex of high brain pressure and extra amount of brain water. Many patients have brain imaging that shows extra brain water but have no pressure. If there is no signs of obstruction along pathways through the brain, it is considered "external" hydrocephalus. If there is no pressure, there is no need for shunt. If there is definite pressure, a shunt is the best treatment. ...Read more
Exactly how common is vp shunt independence? Will young people eventually outgrow the need for one as they grow older?
Shunt indepedence: A common asked question but a commonly unknown answer. Very few patients with shunts truly become independent, in my own experience it is probably only about 5%. There is a surgery, known as a iiird ventriculostomy where a hole can be made at the base of the brain to bypass the fluid obstruction - if successful the shunt can be removed but not all patients fulfill the criteria for this operation. ...Read more
How common is shunt independence (for vp shunts) how does it happen? Examples of such cases? What's the chance for hydro acquired after tumor removal?
Rarely useful: Theoretically, shunt independence can happen, and I have seen a few patients who may no longer need their shunt. Practically, it is rarely worth thinking about. There is no foolproof way to know if a shunt is still flowing or not. Even if the shunt is draining one drop per day, removing it would lead to return of hydrocephalus, so it's rarely worth trying, and usually best to leave it alone. ...Read moreSee 1 more doctor answer
Sure: Potentially there are complications for any surgery especially if it includes implanting something. The two most important for a 2 yr old are an infection and a shunt blockage. Luckily those complications are rare. ...Read more
Is it true that vp shunt independence is more common if one hasn't required an urgent evd? Any correlation between dependence+amount of time with evd?
Possible outcomes: Normally these are two distinct surgeries. They can both be life-saving. It depends on the situation. Infection is a possible complication, sometimes a serious one. Insufficient relief of symptoms may be a problem. Sometimes limited movement of the head or neck occurs with surgery for Chiari, although that is rare. There is more than one type of Chiari. Also best to ask the surgeon! ...Read more
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