Results of treatment with @entity5033 in infantile nontumoral XXXX .

@entity1 @entity1276 @entity281 @entity1410 @entity5033
The authors present the results of surgical treatment in 165 @entity1 with nontumoral @entity1276 , treated during a period of 11 years. The minimum period of follow-up was 1 year. The results in the group of @entity1 treated with a ventriculoatrial (VA) shunt were compared to those obtained in the group with a ventriculoperitoneal (VP) shunt. 45% of @entity1 with VA shunts had one or more revisions, against 51% of @entity1 with VP shunts. However, the incidence of revisions after 6 months from primary insertion was lower in the VP-shunted @entity1 . Most revisions were due to @entity5033 : obstruction of the ventricular or abdominal catheter was the commonest finding. Among complications, the most serious was constituted by @entity281 (11% of cases). Most @entity281 occurred at less than 2 months from surgery and were caused mainly by Staphylococci. 31% of infected @entity1 died. Other frequent complications were due to shunt tubing lost in abdomen or in the ventricles and subdural @entity1410 . The overall mortality rate in the whole group was 18%, while the shunt-related mortality rate was 10.9%. Complications were more frequent in the VP-shunted @entity1 , but were less than in VA-shunted @entity1 and accounted for a lower mortality rate. Complications and mortality rate were prevalent in the @entity1 presenting congenital communicating @entity1276 or myelomeningocele. It is concluded that VP shunt is preferable to VA shunt in the treatment of infantile @entity1276 .
