ORIGINAL ARTICLE

Cerebrospinal fluid contents and risk of shunt exposure in hydrocephalus

Muhamad Thohar Arifin , Febriyanto Purnomo, Zainal Muttaqin, Yuriz Bakhtiar, Erie Andar, Dody Priambada, Happy Kurnia, Ajid Risdianto, Krisna Tsaniadi, Gunadi Kusnarto, Jacob Bunyamin

Muhamad Thohar Arifin
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia. Email: thohar@fk.undip.ac.id

Febriyanto Purnomo
Surgery Department, Faculty of Medicine Diponegoro University-Kariadi General Hospital, General Surgery, Semarang, Indonesia

Zainal Muttaqin
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia

Yuriz Bakhtiar
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia

Erie Andar
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia

Dody Priambada
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia

Happy Kurnia
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia

Ajid Risdianto
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia

Krisna Tsaniadi
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia

Gunadi Kusnarto
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi General Hospital, Neurosurgery, Semarang, Indonesia

Jacob Bunyamin
National Diponegoro Hospital, Semarang, Indonesia
Online First: December 01, 2019 | Cite this Article
Arifin, M., Purnomo, F., Muttaqin, Z., Bakhtiar, Y., Andar, E., Priambada, D., Kurnia, H., Risdianto, A., Tsaniadi, K., Kusnarto, G., Bunyamin, J. 2019. Cerebrospinal fluid contents and risk of shunt exposure in hydrocephalus. Bali Medical Journal 8(3): 841-843. DOI:10.15562/bmj.v8i3.1667


Background: Exposure of the shunt is a rare but severe complication after ventriculoperitoneal (VP) shunt placement. It is unclear whether particular levels of cerebrospinal fluids (CSF) protein, glucose, or polymorphonuclears (PMNs) may influence the shunt exposure in high-risk individuals.

This study aims to find the relation between CSF parameters and shunt exposure.

Methods: Examined preoperative CSF characteristics included CSF colour, protein, glucose, and PMNs content in 513 patients with hydrocephalus. Mann-Whitney test was used to determine the correlation between CSF parameters and shunt exposure.

Results: Shunt exposure was detected in 25 cases (4.87%). There was a significant relationship between distal tip exposure with preoperative glucose (p=0.000), protein level (p=0.007), or PMNs count (p=0.043).

Conclusion: Preoperative CSF contents had a significant correlation with shunt exposure in hydrocephalus patients.

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