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

Overview of attention for article published in Arquivos de Neuro-Psiquiatria, September 2015
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Title
Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele
Published in
Arquivos de Neuro-Psiquiatria, September 2015
DOI 10.1590/0004-282x20150110
Pubmed ID
Authors

Jose Roberto Tude Melo, Pollyana Pacheco, Emília Nunes de Melo, Ângela Vasconcellos, Rosane Klein Passos

Abstract

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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Mendeley readers

The data shown below were compiled from readership statistics for 38 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 38 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 9 24%
Student > Doctoral Student 4 11%
Other 4 11%
Student > Postgraduate 3 8%
Student > Master 2 5%
Other 3 8%
Unknown 13 34%
Readers by discipline Count As %
Medicine and Dentistry 18 47%
Neuroscience 2 5%
Pharmacology, Toxicology and Pharmaceutical Science 1 3%
Biochemistry, Genetics and Molecular Biology 1 3%
Psychology 1 3%
Other 3 8%
Unknown 12 32%