Clinical application of neuronavigation for ventriculo peritoneal shunt
Peng Aijun
Tao Cunshan
Gao Kai
Qi Wentao
Wang Hongsheng
Cao Demao
Shen Baoxi
Wu Yongkang
Abstract:Objective To evaluate the clinical value of neuronavigation for ventriculo-peritoneal shunt (V-PS) in hydrocephalus patients. Methods The clinical data of 43 patients with hydrocephalus were analyzed retrospectively, who were divided into conventional group (n=23, by conventional V-PS) and navigation group (n=20, by neuronavigation-assisted V-PS). The operation time, postoperative improvement of clinical symptoms, degree of ventricular reduction and the incidence of complications were compared between the two groups. Results The operation time was less in navigation group than in conventional group (64.8±6.6 min vs 87.0±7.4 min, P=0.000). Navigation group was superior to conventional group in symptom improvement (P=0.037) and ventricular reduction (P=0.043). The incidence of catheter shifting in the navigation group was significantly less than that in the conventional group (P=0.004). There was no blocked shunt in the navigation group but 8 cases in conventional group, and the difference was significant (P=0.004). Conclusion The neuronavigation-assisted V-PS through the occipital horn could reduce deviation of the catheter and the risk of blocking, deserving further popularization clinically.
Keywords:hydrocephalusventriculoperitoneal shuntneuronavigationshuntstoppage
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 223-226 )
