Pediatric hydrocephalus
Conditions
Interventions
Control Group:Maintain the shunt valve pressure
Experiment Group:increase the shunt valve pressure by one level.
Sponsors
Zhujiang Hospital of Southern Medical University
Eligibility
Sex/Gender
All
Age
No minimum to 18 Years
Inclusion criteria
Inclusion criteria: 1.Age = 3 months; 4.Stable ventricular size for >= 3 months, defined as a change in Evans index 3 months apart prior to enrollment; 5.Availability of complete medical records, with enrollment occurring within 36 months after the shunt surgery; 6.Willingness of the participant and their guardian(s) to cooperate with the study, with the ability to understand and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1.Presence of chronic overdrainage complications at the time of enrollment; 2.Prior adjustment of the shunt valve pressure for any reason; 3.Inability to accurately adjust the shunt valve pressure or confirm the pressure setting due to mechanical failure, imaging artifact, or other reasons; 4.Imaging evidence of progressive intracranial space-occupying lesions, or severe brain parenchymal damage precluding accurate neurological assessment; 5.Clinical or imaging evidence suggesting shunt obstruction, disconnection, or definite absence of cerebrospinal fluid flow requiring shunt revision; 6.Conversion to external ventricular drainage due to infection or other causes after ventriculoperitoneal shunting; 7.Previous or concurrent cerebrospinal fluid diversion surgery other than ventriculoperitoneal shunting (excluding Ommaya reservoir).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence rate of complications from excessive shunt; | — |
Secondary
| Measure | Time frame |
|---|---|
| Neural development growth rate;The incidence rate of shunt failure; | — |
Countries
China
Contacts
Public ContactZhang Wangming
Zhujiang Hospital of Southern Medical University
Outcome results
None listed