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Journal of Korean Neurosurgical Society 1998;27(4): 476-480.
Post-Shunt Infection in Hydrocephalus.
Il Seo Park, Chang Myung Lee, Young Tae Kim, Ho Gyun Ha
Department of Neurosurgery, Konkuk University College of Medicine, Choongju, Korea.
ABSTRACT
Shunt infection remains one of the most frequent and disabling neurosurgical complications. We reviewed the medical records of 40 patients who between 1989 and 1997 underwent CSF shunt surgery involving a total of 48 procedures. Infection occured in six of the 40 patients and secondary postoperative infection in two; i.e. in eight of 48 procedures(16.7%); the microorganisms involved were not always isolated, though in all cases, clinical symptoms were detected. Most episodes occured within 6 months of the last shunt operation and patients under one year old are greater risk of infection than those who are older. To prevent such infection careful preoperative surgical planning is mandatory.
Key Words: Shunt infection; Hydrocephalus; Careful preoperative surgical planning
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