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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 ,


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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How to Cite

Arifin, M. T., 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.