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Posted On : 07 Jun 2013

a 3 months old boy has obstructive hydrocephalus most probably post infectious. his present csf shows 40 cells all lymphocytes, 340mg, dl protien and 13.5 mg, dl sugar. Is it appropriate to put a vp shunt in this boy.

Expert Answer :

Answer Discussion :

K

kamal varshney

0

no, he needs antibiotics or ATT in appropriate clinical settings,doing a shunt at this stage will lead to high chances of shunt obstruction

11 years ago

S

soso abdu

0

mostly TB ... treat medically not by shunt

11 years ago

H

HABIB PATHAN

0

criteria for shunt cells Less than 5 and proteins Less than 100. shunt may get blocked. treat infection and medical management. Inappropriate decision.

11 years ago

D

Dhanashri Deshmukh

0

First treat the infection with antibiotics

11 years ago

Answer 1

The protein content is high and may lead to post surgery block in the shunt. However if the hydrocephalus is large and causing pressure symptoms, one may need to relieve the pressures by either a chamber, ventricular tap or even a shunt, ALso infection is still present in CSF, so appropriate treatment for the same would be required.

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