2018 AANS Annual Scientific Meeting-Hydrocephalus Update

Video Transcription

Video Summary

In the video, Christy DeLamos, a nurse practitioner and director of advanced practice at UC Davis Medical Center, discusses shunts and their management. She explains that hydrocephalus, characterized by excess cerebrospinal fluid (CSF), can be caused by obstruction or an inability to resorb CSF. It can be congenital or acquired. DeLamos highlights the importance of careful diagnostic workup before committing to shunt removal or additional interventions. She also emphasizes the need for close follow-up and titration of programmable valves in shunt management. DeLamos discusses common reasons for shunt failure, such as blockage, mechanical failure, or infection. She mentions the use of shunt check, a noninvasive device that measures CSF flow, and the importance of reading imaging findings correctly. DeLamos provides practical tips for managing shunt-related issues, including adjusting shunt settings, performing a thorough history and exam, and considering the type of valve used. She concludes by discussing shunt infections and the need for prompt empiric antibiotics and re-implantation. Overall, DeLamos provides an overview of shunt management and highlights important considerations in the diagnosis and treatment of shunt-related problems. No credits are mentioned.

Asset Caption

Christi DeLemos, RN, NP

Keywords

shunts

hydrocephalus

CSF

shunt management

diagnosis

treatment

infection