Use of lumbar drainage for treating intracranial infection caused by not removing shunts after ventriculoperitoneal shunt procedures and a systematic literature review
10.3760/cma.j.issn.1671-8925.2016.06.016
- VernacularTitle:腰大池引流术治疗未拔除脑室腹腔分流管的颅内感染七例报道及文献回顾
- Author:
Ming LI
1
;
Bing WANG
;
Zhonghua WU
;
Jiadong ZHANG
;
Yazhou XIN
;
Yong SUN
;
Zhixiao LI
Author Information
1. 郑州大学人民医院神经外科
- Keywords:
Ventriculoperitoneal shunt;
Intracranial infection;
Antibiotics
- From:
Chinese Journal of Neuromedicine
2016;15(6):621-624
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical characteristics of and the treatment efficacy of intracranial infections after ventriculoperitoneal shunt procedures.Methods Among the hydrocephalus patients who were treated by ventriculoperitoneal shunt from January 2013 to January 2016,there were seven cases that had an intracranial infection,but the patients and their families refused to remove shunt devices.Before the cerebrospinal fluid bacterial culture and drug sensitivity test results were available for the intracranial infection patients,their cerebrospinal fluid was drained through continuous lumbar drainage.After the bacterial culture and drug sensitivity test results had come out,they were treated with the intrathecal injection of sensitive antibiotics when necessary.Results Three patients were cured after lumbar drainage and intrathecal injection of antibiotics,showed by the follow-up six months later.One patient exhibited clinical symptoms of infection in a follow-up recheck two months later after removal of the lumbar shunt.Two patients implanted shunt devices again after the removal of the shunt devices during hospitalization.One patient died.Conclusion The lumbar drainage is an effective measure with clinical values for infections caused by not removing shunts after ventriculoperitoneal shunt procedures.
