Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center
Objective: to investigate the role of CT and MRI in diagnosis of Arnold chiari malformation of hydrocephalus and its treatment with VP shunt along with complications. Study Design: Prospective study Place and duration: Department of Neurosurgery, DG Khan Medical College from May 4, 2018 to Ma...
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Format: | Article |
Language: | English |
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Frontier Science Associates
2020-01-01
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Series: | The International Journal of Frontier Sciences |
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Online Access: | http://publie.frontierscienceassociates.com.pk/index.php/tijfs/article/view/71 |
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author | Malik Liaqat Ali Jalal Muhammad Shaukat Farooq Atta-ur-Rehman Khan Muhammad Yousaf Muhammad Rizwan Atta-ur-Rehman Khan Saima Faiz |
author_facet | Malik Liaqat Ali Jalal Muhammad Shaukat Farooq Atta-ur-Rehman Khan Muhammad Yousaf Muhammad Rizwan Atta-ur-Rehman Khan Saima Faiz |
author_sort | Malik Liaqat Ali Jalal |
collection | DOAJ |
description |
Objective: to investigate the role of CT and MRI in diagnosis of Arnold chiari malformation of hydrocephalus and its treatment with VP shunt along with complications.
Study Design: Prospective study
Place and duration: Department of Neurosurgery, DG Khan Medical College from May 4, 2018 to May 4, 2019.
Methodology: Fifty patients of congenital hydrocephalus who were not treated previously were selected. Detailed history about disease and clinical examination of patients was performed. Follow ups were done at neurosurgery OPD. SPSS software for data analysis was used and mean ± SD, frequency and percentages were calculated for variables. P value ?0.05 was considered as significant.
Results: Treatment in case of congenital hydrocephalus as VP shunt, intra-aneurysmal coiling, excision of meningomyelocele with VP shunt and suboccipital craniectomy + upper cervical laminectomy (scucl) were observed as 10%, 6%, 8% and 8% respectively. Twelve percent of patients were not treated.
Conclusion: CT and MRI are the main diagnostic tools for diagnosis of Arnold chiari malformation and VP shunt is the treatment of choice. Among complications of VP shunt infection of shunt and shunt block are the main complications.
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first_indexed | 2024-03-08T08:23:05Z |
format | Article |
id | doaj.art-fdd4d59ac1004a31bfc388dbce748c3a |
institution | Directory Open Access Journal |
issn | 2618-0359 2618-0367 |
language | English |
last_indexed | 2024-03-08T08:23:05Z |
publishDate | 2020-01-01 |
publisher | Frontier Science Associates |
record_format | Article |
series | The International Journal of Frontier Sciences |
spelling | doaj.art-fdd4d59ac1004a31bfc388dbce748c3a2024-02-02T05:26:09ZengFrontier Science AssociatesThe International Journal of Frontier Sciences2618-03592618-03672020-01-0141Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care CenterMalik Liaqat Ali Jalal0Muhammad Shaukat Farooq1Atta-ur-Rehman Khan2Muhammad Yousaf3Muhammad Rizwan4Atta-ur-Rehman Khan5Saima Faiz6Department of Neurosurgery, DG Khan Medical College, Dera Ghazi Khan, PakistanDepartment of Neurosurgery, DG Khan Medical College, Dera Ghazi Khan, PakistanDepartment of Neurosurgery, DG Khan Medical College, Dera Ghazi Khan, PakistanDepartment of Neurosurgery, DG Khan Medical College, Dera Ghazi Khan, PakistanDepartment of Neurosurgery, DG Khan Medical College, Dera Ghazi Khan, PakistanDepartment of Neurosurgery, DG Khan Medical College, Dera Ghazi Khan, PakistanDepartment of Neurosurgery, Nishtar Medical University, Multan, Pakistan Objective: to investigate the role of CT and MRI in diagnosis of Arnold chiari malformation of hydrocephalus and its treatment with VP shunt along with complications. Study Design: Prospective study Place and duration: Department of Neurosurgery, DG Khan Medical College from May 4, 2018 to May 4, 2019. Methodology: Fifty patients of congenital hydrocephalus who were not treated previously were selected. Detailed history about disease and clinical examination of patients was performed. Follow ups were done at neurosurgery OPD. SPSS software for data analysis was used and mean ± SD, frequency and percentages were calculated for variables. P value ?0.05 was considered as significant. Results: Treatment in case of congenital hydrocephalus as VP shunt, intra-aneurysmal coiling, excision of meningomyelocele with VP shunt and suboccipital craniectomy + upper cervical laminectomy (scucl) were observed as 10%, 6%, 8% and 8% respectively. Twelve percent of patients were not treated. Conclusion: CT and MRI are the main diagnostic tools for diagnosis of Arnold chiari malformation and VP shunt is the treatment of choice. Among complications of VP shunt infection of shunt and shunt block are the main complications. http://publie.frontierscienceassociates.com.pk/index.php/tijfs/article/view/71VP ShuntInfectionHydrocephalusArnold chiari syndrome |
spellingShingle | Malik Liaqat Ali Jalal Muhammad Shaukat Farooq Atta-ur-Rehman Khan Muhammad Yousaf Muhammad Rizwan Atta-ur-Rehman Khan Saima Faiz Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center The International Journal of Frontier Sciences VP Shunt Infection Hydrocephalus Arnold chiari syndrome |
title | Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center |
title_full | Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center |
title_fullStr | Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center |
title_full_unstemmed | Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center |
title_short | Management and Complications of Arnold Chiari Hydrocephalus at Tertiary Health Care Center |
title_sort | management and complications of arnold chiari hydrocephalus at tertiary health care center |
topic | VP Shunt Infection Hydrocephalus Arnold chiari syndrome |
url | http://publie.frontierscienceassociates.com.pk/index.php/tijfs/article/view/71 |
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