Simplified Lumboperitoneal Shunt Surgery Using 2 Small Skin Incisions: 2-Dimensional Operative Video

AbstractBackground:The 3-meter Timed Up and Go test (TUG) is a reliable quantitative test for assessment of gait and balance. We aimed to establish an optimal threshold of TUG at the tap test for predicting outcomes 12 months after shunt surgery in patients with idiopathic normal pressure hydrocephalus (iNPH).Methods:The TUG was measured in a total of 151 patients with possible iNPH before and after a tap test and 12 months after shunt surgery. Among them, 81 patients underwent ventriculoperitoneal shunt implantation (SINPHONI) and 70 underwent lumboperitoneal shunt implantation (SINPHONI-2). The areas under the curve (AUCs), sensitivities, and specificities for predicting shunt effectiveness were assessed.Results:The simple differences of time on TUG at the tap test were significantly more accurate for predicting shunt effectiveness than percent improvement of time. The highest AUC for the synchronized moving cutoff point of TUG time was 0.81 (sensitivity 81.0%; specificity 81.6%) at the threshold of 5 seconds in the SINPHONI-2. For predicting improvements of ≥10 seconds 12 months after lumboperitoneal shunt implantation, the AUC was 0.90, and the sensitivity and specificity at the threshold of 5.6 seconds were 83.3% and 81.0%. Only for patients with a <5-second improvement at the tap test, ventriculoperitoneal shunt implantation conveyed significantly better improvements in TUG time 12 months after surgery than lumboperitoneal shunt implantation.Conclusions:An improvement of 5 seconds was a useful threshold of TUG time at the tap test for predicting a ≥10-second improvement 12 months after shunt surgery, rather than the percent improvement of TUG time.

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Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): an open-label randomised trial

The Lancet Neurology ◽

10.1016/s1474-4422(15)00046-0 ◽

2015 ◽

Vol 14 (6) ◽

pp. 585-594 ◽

Cited By ~ 107

Author(s):

Hiroaki Kazui ◽

Masakazu Miyajima ◽

Etsuro Mori ◽

Masatsune Ishikawa

Keyword(s):

Normal Pressure Hydrocephalus ◽

Randomised Trial ◽

Normal Pressure ◽

Idiopathic Normal Pressure Hydrocephalus ◽

Shunt Surgery ◽

Open Label ◽

Lumboperitoneal Shunt

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Lumboperitoneal Shunt - A Simple Answer to Idiopathic Intracranial Hypertension

Journal of Medicine ◽

10.3329/jom.v13i1.10081 ◽

1970 ◽

Vol 13 (1) ◽

pp. 82-84

Author(s):

Khandkar Ali Kawsar

Keyword(s):

Intracranial Hypertension ◽

Young Women ◽

Idiopathic Intracranial Hypertension ◽

Young Girl ◽

Shunt Surgery ◽

Common Disorder ◽

Lumboperitoneal Shunt

Idiopathic Intracranial Hypertension commonly can present in young women. It is a relatively common disorder but unfortunately under diagnosed. Surgery can be an option of treatment for these patients. Here we report a can not a young girl presenting with IIH, successfully treated by a shunt surgery. DOI: http://dx.doi.org/10.3329/jom.v13i1.10081 JOM 2012; 13(1): 82-84

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Use of Pneumoperitoneal Puncture for Peritoneal Catheter Placement in Lumboperitoneal Shunt Surgery: Technical Note

World Neurosurgery ◽

10.1016/j.wneu.2017.04.058 ◽

2017 ◽

Vol 103 ◽

pp. 391-394

Author(s):

Junhua He ◽

Xin Jin ◽

Xianghua Zhang ◽

Jun Kong ◽

Yihai Lin ◽

...

Keyword(s):

Technical Note ◽

Catheter Placement ◽

Shunt Surgery ◽

Peritoneal Catheter ◽

Lumboperitoneal Shunt

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Lumboperitoneal Shunt Surgery Using Valve Implantation on the Paravertebral Spinal Muscle

World Neurosurgery ◽

10.1016/j.wneu.2020.11.098 ◽

2020 ◽

Author(s):

Yukihiro Goto ◽

Hideki Oka ◽

Akihiko Hino

Keyword(s):

Shunt Surgery ◽

Lumboperitoneal Shunt ◽

Valve Implantation

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Cryptococcal Meningitis Complicating a Case of Bilharzial Hepatosplenomegaly After Shunt Surgery

Gastroenterology ◽

10.1016/s0016-5085(19)35161-3 ◽

1961 ◽

Vol 41 (2) ◽

pp. 139-143 ◽

Cited By ~ 1

Author(s):

Hector F. Rodriguez ◽

Radames Sierra ◽

Edwin Rivera

Keyword(s):

Cryptococcal Meningitis ◽

Shunt Surgery

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PORTAL HYPERTENSIVE GASTROPATHY: A COMPREHENSIVE REVIEW

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i4.1084 ◽

2020 ◽

Vol 4 (4) ◽

Author(s):

Shabir Shiekh ◽

Showkat Kadla ◽

Bilal Khan ◽

Nisar Shah

Keyword(s):

Gastrointestinal Bleeding ◽

Beta Blockers ◽

Secondary Prophylaxis ◽

Deficiency Anemia ◽

Portal Hypertensive Gastropathy ◽

Shunt Surgery ◽

Comprehensive Review ◽

Mucosal Changes ◽

Gi Bleed ◽

Gastric Mucosal Changes

Portal hypertensive gastropathy (PHG) encompasses the gastric mucosal changes occurring in the setting of portal hypertension,both cirrhotic and non-cirrhotic. Its significance lies in causing acute gastrointestinal bleeding and insidious chronic blood loss presenting as iron deficiency anemia. Diagnosis of PHG is straight-forward, made endoscopically often characterized by a mosaic-like pattern resembling ‘snake-skin’, with or without red spots. Treatment of acute GI bleed is hemodynamic stabilization, vasoconstrictor therapy, antibiotic prophylaxis, non-selective beta-blockers. Endoscopic treatment like APC has a small role. In severe cases, TIPS and shunt surgery can be offered. Secondary prophylaxis of PHG bleeding with non-selective b-blockers is recommended. Keywords: Portal hypertension, Gastrointestinal bleeding, Cirrhosis, Beta-blockers

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