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Haemophilus influenzae infections of cerebrospinal fluid shunts

Report of two cases

Stephen J. Lerman

.aje.a112005 2. Lerman SJ : Systemic Haemophilus influenzae infection in patients with an underlying condition. (In preparation) Lerman SJ: Systemic Haemophilus influenzae infection in patients with an underlying condition. (In preparation) 3. Myers MG , Schoenbaum SC : Shunt fluid aspiration. An adjunct in the diagnosis of cerebrospinal fluid shunt infection. Am J Dis Child 129 : 220 – 222 , 1975 Myers MG, Schoenbaum SC: Shunt fluid aspiration. An adjunct in the diagnosis of cerebrospinal fluid shunt

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Flow characteristics of cerebrospinal fluid shunt tubing

Laboratory investigation

Joseph T. Cheatle, Alexis N. Bowder, Sandeep K. Agrawal, Michael D. Sather, and Leslie C. Hellbusch

C erebrospinal fluid shunting is required when endogenous pathways of circulation and reabsorption of CSF are disrupted. Cerebrospinal fluid shunt system failure is a significant cause of morbidity in patients with hydrocephalus. Shunt system malfunctions can occur due to catheter breakage or disconnection, obstruction of either the ventricular or distal catheter, obstruction of the shunt valve, or malpositioning. As biomechanical devices, CSF shunt systems are inherently prone to failure and infection. In the 1st year after implantation alone, the average

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Cerebrospinal fluid shunt colonization and obstruction by Paecilomyces variotii

Case report

Rodger Fagerburg, Byungse Shu, Helen R. Buckley, Bennett Lorber, and John Karian

(Editorial) O'Day DM: Fungal endophthalmitis caused by Paecilomyces lilacinus after intraocular lens implantation. Am J Ophthalmol 83: 130–131, 1977 (Editorial) 10.1016/0002-9394(77)90206-9 8. Schoenbaum SC , Gardner P , Shillito J : Infections of cerebrospinal fluid shunts: epidemiology, clinical manifestations, and therapy. J Infect Dis 131 : 543 – 552 , 1975 Schoenbaum SC, Gardner P, Shillito J: Infections of cerebrospinal fluid shunts: epidemiology, clinical manifestations, and therapy. J Infect Dis 131: 543

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Long-term analysis of cerebrospinal fluid shunt infections

A 25-year experience

Randolph George, Lyal Leibrock, and Mel Epstein

neurosurgical shunting procedures. Pediatrics 59 : 793 , 1977 ( Letter ) McCarthy MF Jr, Wenzel RP: Postoperative spinal fluid infections after neurosurgical shunting procedures. Pediatrics 59: 793, 1977 (Letter) 10.1542/peds.59.5.793 16. McLaurin RL : Infected cerebrospinal fluid shunts. Surg Neurol 1 : 191 – 195 ;, 1973 McLaurin RL: Infected cerebrospinal fluid shunts. Surg Neurol 1: 191–195;, 1973 17. Nicholas JL , Kamal IM , Eckstein HB : Immediate shunt replacement in the treatment of

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Peritoneal Cerebrospinal Fluid Shunt Insertion

Neurosurgical Forum: Letter to the Editor To The Editor Joseph H. Piatt , Jr , M.D. Drexel University College of Medicine Philadelphia, PA 232 232 Abstract A minor modification of the technique of peritoneal cerebrospinal fluid shunt insertion allows more anatomical closure of the abdominal wound and may protect the shunt from contamination by superficial abdominal wound infection. In a previously published article (Piatt JH Jr: Peritoneal cerebrospinal fluid shunt insertion: a technique for

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Determination of cerebrospinal fluid shunt function with water-soluble contrast medium

Mario Savoiardo, Carlo L. Solero, Angelo Passerini, and Franco Migliavacca

of predicting the level of obstruction or malfunction; therefore, the injection of water-soluble contrast medium is still needed. Acknowledgments We wish to thank Dr. P. Faglioni, Neurologist at the University of Modena, for the statistical evaluation, and Mrs. F. Stucchi for typing the manuscript. References 1. Alker GJ , Glasauer FE , Leslie EV : The radiology of cerebrospinal fluid shunts and their complications. Br J Radiol 46 : 496 – 503 , 1973 Alker GJ, Glasauer FE, Leslie EV: The radiology of

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Image-guided cerebrospinal fluid shunting in children: catheter accuracy and shunt survival

Clinical article

Michael R. Levitt, Brent R. O'Neill, Gisele E. Ishak, Paritosh C. Khanna, Nancy R. Temkin, Richard G. Ellenbogen, Jeffrey G. Ojemann, and Samuel R. Browd

, Piatt JJ Jr , : Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus . Neurosurgery 43 : 294 – 305 , 1998 10.1097/00006123-199808000-00068 9 Gil Z , Siomin V , Beni-Adani L , Sira B , Constantini S : Ventricular catheter placement in children with hydrocephalus and small ventricles: the use of a frameless neuronavigation system . Childs Nerv Syst 18 : 26 – 29 , 2002 10.1007/s00381-001-0550-3 10 Hayhurst C , Beems T , Jenkinson MD , Byrne P , Clark S , Kandasamy J , : Effect of

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Cerebrospinal fluid shunting protocol for idiopathic intracranial hypertension for an improved revision rate

Luke Galloway, Kishan Karia, Anwen M. White, Marian E. Byrne, Alexandra J. Sinclair, Susan P. Mollan, and Georgios Tsermoulas

in adult hydrocephalus patients . J Neurol Neurosurg Psychiatry . 2009 ; 80 ( 11 ): 1248 – 1253 . 19293174 10.1136/jnnp.2007.141416 9 Sinclair AJ , Kuruvath S , Sen D , Nightingale PG , Burdon MA , Flint G . Is cerebrospinal fluid shunting in idiopathic intracranial hypertension worthwhile? A 10-year review . Cephalalgia . 2011 ; 31 ( 16 ): 1627 – 1633 . 21968519 10.1177/0333102411423305 10 Kestle JRW , Holubkov R , Douglas Cochrane D , Kulkarni AV , Limbrick DD Jr , A new Hydrocephalus Clinical Research Network protocol

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Cerebrospinal fluid shunt operations without cranial bandaging

Clinical article

Ken R. Winston, Elizabeth Trinidad, C. Corbett Wilkinson, and Lori A. McBride

conflict of interest concerning the materials or methods used in this study or the findings specified in this paper. Acknowledgments The authors gratefully acknowledge the expertise, professionalism, and dedication of Erika Zamora, R.N., their neurosurgical operating room director, and A'riana Collins, C.S.T., who together contributed immeasurably to the results reported here. References 1 Bishop WJ : A History of Surgical Dressings Oxford , Robinson & Sons Ltd. , 1959 2 Borges LF : Cerebrospinal fluid shunts interfere with host defenses

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Fluoroscopy of programmable cerebrospinal fluid shunt valve settings

Technical illustration

Bruce A. Kaufman, Christopher J. Moran, and James Schlesinger

determining the pressure setting. Right: Composite radiographs of the valve in vitro, set at 80 mm H 2 O and positioned at different angles relative to the x-ray beam (low-pressure side elevated 45°, flat, high-pressure side elevated 15°). The use of fluoroscopy rather than radiography to evaluate this externally programmable cerebrospinal fluid shunt valve has resulted in a significant savings in time and effort for patients and physicians. The patient is positioned to approximate a lateral view of the valve, and fluoroscopy (magnification factor 11:7, 73 kV, 6