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HYDROCEPHALUS
     
  The treatment of hydrocephalus accounts for approximately 40% of the total neurosurgical procedures we perform. Since we began our database in 1994 we have performed over 2500 shunt operations. Historically, the ability to successfully treat hydrocephalus is relatively new. The first valved shunt systems were introduced in 1947 but the wide availability of shunts for hydrocephalus began in the 1960's. As newer and more efficient valves have been developed the long-term success rate has increased. The overall success, however, remains a relative thing. Studies show that there is a 40% failure of new shunt systems in the first year after shunt insertion and 60% fail by two years. After two years the rate of failure slows significantly.  
 

Coping with the many issues facing the patient with hydrocephalus can be very stressful. There are several patient and parent support groups that provide excellent resources to patients and families. We recommend the Hydrocephalus Association, based in San Francisco, CA. They have excellent resourse materials and sponsor conferences for patients and families.

We have participated and continue to participate in shunt research studies, trying to identify a better shunt system.Dr. John Kestle's research interest is in the design of clinical trials and we continue to participate in such studies.

  • Dr. Kestle is a Principle Investigator on the multi-center clinical trial to evaluate shunt design.
  • We participated in the multi-center trial to evaluate the Codman programmable shunt valve (the Medos® valve).
  • We are currently participants in a multi-center clinical trial evaluating the safety of another programmable shunt valve (the Strata® valve). Dr. Kestle is the Principle Investigator on this study.

    Literature for Families and Patients:

    Hydrocephalus: A Guide for Patients, Families and Friends

    .

    Related Topics:

    Third Ventriculostomy
    Slit Ventricle Syndrome
    Shunt Over-drainage

 

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