Brain Imaging Evaluation of Ventriculoperitoneal Shunting and Complication at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
| dc.contributor.advisor | Dr. S, Amal (MD, Ass. Prof. Of radiology, Neuroradiologist, Department of Radiology) | |
| dc.contributor.advisor | Dr.G, Tesfayea (MD, Neuroradiology fellow Department of Radiology) | |
| dc.contributor.author | Ahmed, Akrem Duri | |
| dc.date.accessioned | 2022-01-11T11:29:59Z | |
| dc.date.accessioned | 2023-11-05T09:32:03Z | |
| dc.date.available | 2022-01-11T11:29:59Z | |
| dc.date.available | 2023-11-05T09:32:03Z | |
| dc.date.issued | 2021-10 | |
| dc.description.abstract | Background: Hydrocephalus is an abnormal accumulation of CSF in the central nervous system by different pathologic causes. Abnormal CSF accumulation causes a rise of intracranial pressure and results in catastrophic complications unless treated. The management focused on reliving raised intracranial pressure using different methods and one of the commonly used methods is a ventriculoperitoneal shunt. Our study direction was to assess brain image evaluation of ventriculoperitoneal shunt using different imaging. Methods: A retrospective cross-sectional study was conducted, on all patients who had a ventriculoperitoneal shunt, and brain imaging was reviewed from 15 Jun 2017 to 2 Mar 2021 G.C. Data Review of medical records and all the images in the study population during the study period was carried out. Information on socio-demographic characters, indication for shunting, imaging finding, and related complication were reviewed, using data collected by using structured questionnaires and image analysis. Data were compiled and analyzed using SPSS 23.0 computer software and presented using tables, graphs, and figures. Result: In 60 patients we study the age of the participants ranges from 1 month to 55 years, with a mean of 20.8, and a median of 19. The sex distribution showed 22(36.1%) females and 38(63.9%) were males. Post-op CT images done in the study period were 45(75%), and shunt tip grading analysis showed grade two shunt tip of 28(46.7%) and grade one in 19(31.6%). Fiftyfour (90%) causes of Hydrocephalus were neoplasm, three (5%) congenital, and one (1.6%) meningitis. Complications we identified in our study were 12(20%) intracranial hemorrhage, four (6.7%) ventriculitis, and five (8.3%) pneumocephalus. Conclusion: Our study showed, most patients had no imaging evaluation after VPS procedure, and common imaging used where pre-contrast CT. A common indication for VPS insertion was neoplasm. Complications related to VPS in our study are commonly caused by intracranial hemorrhage. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/29490 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | CT, Complication, Hydrocephalus, MRI, ventriculoperitoneal shunt | en_US |
| dc.title | Brain Imaging Evaluation of Ventriculoperitoneal Shunting and Complication at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia | en_US |
| dc.type | Thesis | en_US |