Determining Hydrocephalus and V-P Shunt Requirements After Repair of Myelomeningocele Defects in Infants İnfantlarda Miyelomeningosel Defektlerinin Onarımı Sonrası Hidrosefali ve V-P Şant Gereksinimlerinin Belirlenmesi
Medical Journal of Bakirkoy, cilt.21, sa.1, ss.1-6, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/bmj.galenos.2024.2024.4-11
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.1-6
- Anahtar Kelimeler: Myelomeningocele, hydrocephalus, frontal and occipital horn ratio
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Myelomeningocele (MM) is an important developmental defect that requires surgical treatment, and hydrocephalus is an important complication that may develop after surgical closure of the defect. To analyze the factors that may determine the need for shunting in patients with MM defects and hydrocephalus. Methods: A retrospective analysis of 103 patients (63 females and 40 males) who were treated for MM between 2016 and 2023 at our institution was conducted. The infants were divided into two groups: Group 1; those who underwent V-P shunt surgery following MM repair surgeries (n=81) and Group 2; those who did not receive V-P shunt surgery following MM repair (n=22). Parameters such as head circumference, MM sac integrity, MM sac location, and birth weight were examined. The results were analyzed to identify any potential differences between the two groups. Results: The study included 103 patients with MM abnormalities. The rate of V-P shunt insertion was significantly higher in infants with preoperative hydrocephalus, those with an open MM sac structure, and those with abnormalities in the thoracic/thoracolumbar region. Conclusion: Development of hydrocephalus and the need for V-P shunt placement after defect repair are crucial in infants born with MM. This evaluation helps in planning the management of these patients with the aim of minimizing complications and improving the overall prognosis.