Postgraduate Medical Journal of NAMS Management of Hydrocephalus – Our Experience.

IntroductIon: CSF diversionary surgery still remains one of the most common procedures in surgical neurology. Cerebrospinal fluid (CSF) diversion procedures remain the principal method of treatment of hydrocephalus. Commonly used procedures are Ventriculo-Peritoneal shunt, Endoscopic third ventriculostomy and External ventricular drainage. The objective was to analyze incidence, indications, and complications related to VP Shunt. methode: This is a retrospective study carried out at National Neurosurgical Referral Center, National Academy of Medical sciences during the year September 2006 to September 2009 (3 Years).Demographic features like age, sex were analyzed. Other features like indications, complications and mortality/morbidity also analyzed. result: VP Shunt was performed in 272 cases. VP Shunt was performed for Congenital Hydrocephalus(29.8%), Tumour(32.7%), post infection(17.6%), Haemorrhage, Infarction(16.5%) and in 3.3 % for other causes like abscess and granulomatous lesion. Shunt obstruction(10.3%) was common among the complications, followed by infection(6.25%). conclusIon: CSF diversionary procedures still remains one of the most common procedures (11.5 % of total surgeries).VP Shunt was performed in majority of cases of hydrocephalus ( 61.4%) followed by EVD in 30 %,Endoscopic procedures in 7.45 % and other procedures 2.3%.So, VP Shunt still remains most commonly used shunt in modern era