TY - CHAP M1 - Book, Section TI - Cerebrospinal Fluid Shunt Infections A1 - Schaffzin, Joshua K. A1 - Simon, Tamara D. A2 - Shah, Samir S. A2 - Kemper, Alex R. A2 - Ratner, Adam J. Y1 - 2019 N1 - T2 - Pediatric Infectious Diseases: Essentials for Practice, 2e AB - Cerebrospinal fluid (CSF) shunts are the predominant mode of therapy for children with hydrocephalus. Shunt insertions and revisions are among the most commonly performed neurosurgical procedures. Common causes of hydrocephalus in children include intraventricular hemorrhage, myelomeningocele, central nervous system (CNS) tumors, aqueductal stenosis, communicating hydrocephalus, head injury, and infections. Most shunts are first inserted before 6 months of age.1 The shunt apparatus diverts CSF away from the ventricles, preventing increases in intracranial pressure that may lead to neurologic sequelae. The typical CSF shunt has a proximal portion that enters the CSF space, an intermediate reservoir that lies outside the skull but underneath the skin, and a distal portion that terminates in either the peritoneal [ventriculoperitoneal (VP) shunt], vascular [ventriculoatrial (VA) shunt], or pleural space [ventriculopleural (V-Pleural) shunt] (Figure 74-1). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1157324815 ER -