Choroid plexus treatment reducing CSF production probably treat refractory shunt malfunction: two case reports

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  • 脈絡叢処理で髄液産生を減ずることによりシャント術を完遂し得た難治性シャント機能不全の2例

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Abstract

<p>Patients with pediatric hydrocephalus require long-term management.</p><p>Treatment strategies should be reconsidered due to complications which often occurs during follow-up period.</p><p>We experienced two cases of repeated shunt malfunction which could be controlled by choroid plexus treatment aiming cerebrospinal fluid (CSF) volume reduction. We reported these cases and tried to consider therapeutic implications of CPC/CPR for repeated shunt malfunction.</p><p>Case 1 was a 12-year-old girl with posthemorrhagic hydrocephalus, who had severe peritoneal adhesion. After twice of CPR, she eventually underwent ventricular pleural shunt.</p><p>Case 2 was a 7-month-old girl with Dandy-Walker syndrome, who had 500-600 ml/day of CSF drainage. She underwent shunt revision after twice of CPC which succeeded in reducing CSF volume.</p>

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