Neurol. praxi. 2016;17(4):232-235 | DOI: 10.36290/neu.2016.048

Management of hydrocephalus in patients with an implanted shunt for hydrocephalus during pregnancy and delivery

MUDr. Václav Vybíhal, Ph.D.1, MUDr. Romana Gerychová2, MUDr. Petr Janků, Ph.D.2, MUDr. George Hanoun1, MUDr. Marek Sova1, MUDr. Miloš Keřkovský3, prof. MUDr. Martin Smrčka, Ph.D.,MBA
1 Neurochirurgická klinika, LF MU a FN Brno
2 Gynekologicko-porodnická klinika, LF MU a FN Brno
3 Radiologická klinika, LF MU a FN Brno

Because of treatment advances in hydrocephalus the number of patients reaching reproductive age and intending to become

pregnant has increased in recent years. Numerous changes occur during pregnancy and these changes contribute to increased

incidence of complications during pregnancy and childbirth. Therefore, it is necessary to make a preconception exam and specify

pregnancy management, a suitable method of childbirth and dealing with potential complications. Possible shunt malfunction

is necessary to diagnose properly and in time and solve it individually, taking into account the overall and neurological status of

the patient and gestational age. Vaginal delivery is considered by most authors as the first option. Primary cesarean section is

preffered in patients with obstructive hydrocephalus or rapid deterioration in the case of shunt malfunction. Epidural anesthesia

or general, eventually spinal anesthesia are recommended.

Keywords: hydrocephalus, shunt, ventriculoperitoneal shunt, ventriculoatrial shunt, pregnancy

Published: August 1, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Vybíhal V, Gerychová R, Janků P, Hanoun G, Sova M, Keřkovský M, Smrčka M. Management of hydrocephalus in patients with an implanted shunt for hydrocephalus during pregnancy and delivery. Neurol. praxi. 2016;17(4):232-235. doi: 10.36290/neu.2016.048.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Bradley NK, Liakos AM, McAllister JP 2nd, Magram G, Kinsman S, Bradley MK. Maternal shunt dependency: implications for obstetric care, neurosurgical management, and pregnancy outcomes and a review of selected literature. Neurosurgery 1998; 43(3): 448-460. Go to original source... Go to PubMed...
    2. Cusimano MD, Meffe FM, Gentili F, Sermer M. Management of pregnant women with cerebrospinal fluid shunts. Pediatr Neurosurg 1991-1992; 17: 10-13. Go to original source... Go to PubMed...
    3. Dandy WE. Extirpation of the choroid plexus of the lateral ventricles in communicating hydrocephalus. Ann Surg. 1918; 68(6): 569-579. Go to original source... Go to PubMed...
    4. Fletcher H, Crandon IW, Webster D. Maternal hydrocephalus in pregnancy and delivery: A report of two cases. West Indian Med J 2007; 56: 558-559. Go to original source... Go to PubMed...
    5. Hwang SC, Kim TH, Kim BT, Im SB, Shin WH. Acute shunt malfunction after cesarean section delivery: a case report. J Korean Med Sci 2010; 25: 647-650. Go to original source... Go to PubMed...
    6. Karanth S, Sheela CN, Chhabra M. Malfunction of ventriculoperitoneal shunt during pregnancy: A case report. Int J Pharm Biomed Res 2011; 2(4): 266-268.
    7. Liakos AM, Bradley NK, Magram G, Muszynski C. Hydrocephalus and the reproductive health of women: the medical implications of maternal shunt dependency in 70 women and 138 pregnancies. Neurol Res 2000; 22(1): 69-88. Go to original source... Go to PubMed...
    8. Littleford JA, Brockhurst NJ, Bernstein EP, Georgoussis SE. Obstetrical anesthesia for a parturient with a ventriculoperitoneal shunt and third ventriculostomy. Can J Anaesth 1999; 46(11): 1057-1063. Go to original source... Go to PubMed...
    9. Monfared AH, Koh KS, Apuzzo ML, Collea JV. Obstetric management of pregnant women with extracranial shunts. Can Med Assoc J. 1979; 120(5): 562-563. Go to PubMed...
    10. Murakami M, Morine M, Iwasa T, Takahashi Y, Miyamoto T, Hon PK, Nakagawa Y. Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report. Arch Gynecol Obstet 2010; 282(3): 339-342. Go to original source... Go to PubMed...
    11. Nikolov A, Surchev Zh, Nalbanski B, Diavolov V, Dimitrov A. Pregnancy and delivery in women with cerebrospinal fluid shunt due to hydrocephalus. Akush Ginekol (Sofiia) 2008; 47(2): 3-10.
    12. Oatridge A, Holdcroft A, Saeed N, Hajnal JV, Puri BK, Fusi L, Bydder GM. Change in brain size during and after pregnancy: study in healthy women and women with preeclampsia. AJNR Am J Neuroradiol 2002; 23: 19-26.
    13. Okagaki A, Kanzaki H, Moritake K, Mori T. Case report: Pregnant woman with ventriculoperitoneal shunt to treat hydrocephalus. Asia Oceania J Obstet Gynaecol 1990; 16: 111-113. Go to original source... Go to PubMed...
    14. Riffaud L, Ferre JC, Carsin-Nico B, Morandi X. Endoscopic third ventriculostomy for the treatment of obstructive hydrocephalus during pregnancy. Obstet Gynecol 2006; 108: 801-804. Go to original source... Go to PubMed...
    15. Sova M, Smrčka M, Baudyšová O, Gogela J. Management of a shunt malfunction during pregnancy. Bratisl Lek Listy 2001; 102: 562-563. Go to PubMed...
    16. Surov A, Koman G, Behrmann C, Strauss C, Kornhuber M. A rare cause of ventriculoatrial shunt malfunction. Clin Neurol Neurosurg 2009; 111: 310-311. Go to original source... Go to PubMed...
    17. Wang X, Wang H, Fan Y, Hu Z, Guan Q, Zhang Q, Li T, Wang C. Management of acute hydrocephalus due to pregnancy with ventriculoperitoneal shunt. Arch Gynecol Obstet 2013; 288: 1179-1182. Go to original source... Go to PubMed...
    18. Wisoff JH, Kratzert KJ, Handwerker SM, Young BK, Epstein F. Pregnancy in patients with cerebrospinal fluid shunts: report of a series and review of the literature. Neurosurgery 1991; 29(6): 827-831. Go to original source... Go to PubMed...
    19. Yu JN. Pregnancy and extracranial shunts: case report and review of the literature. J Fam Pract 1994; 38(6): 622-626.
    20. Zabramski JM, Preul MC, Debbins J, McCusker DJ. 3T magnetic resonance imaging testing of externally programmable shunt valves. Surg Neurol Int. 2012; 3: 81. Go to original source... Go to PubMed...

    Return to the content


    Neurology for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.