Cerebral shunt

kenshuntkenshunt London, Ontario, Canada Posts: 2,863
edited November 2008 in All Encompassing Trip
In cases of hydrocephalus (a birth defect), a plastic tube called a shunt is used to drain excess cerebrospinal fluid from the brain and carry it to other parts of the body. This tube goes from the affected area of the brain, connects to a one-way valve which sits outside the skull, but beneath the skin, somewhere behind the ear. It then travels down the neck, and into either the abdominal cavity (most common), the pleural cavity (surrounding the lungs) (alternative), or into the atrium of the heart (quite rare). Enough tubing is left in the area it drains to, so that it can uncoil as the child grows.

Although a shunt generally works well, it may stop working if it disconnects, becomes blocked, or it is outgrown. If this happens the cerebrospinal fluid will begin to accumulate again and a number of physical symptoms will develop. These symptoms may include: listlessness, headaches, irritability, light sensitivity, sound sensitivity, nausea, vomiting, dizziness, vertigo, migraines, seizures, a change in personality, weakness in the arms or legs, excessive head growth (seen infants, children under age 2), strabismus, and double vision. Signs of an infected shunt will be similar to those of a blocked shunt, but they will also have a fever and an elevated white blood cell count. If either of these are suspected, medical attention is needed immediately.

The shunt failure rate is also relatively high and it is not uncommon for patients to have multiple shunt revisions within their lifetime. By 2-3 years of age, approximately half of shunts that have been inserted have failed and been replaced.

The diagnosis of cerebrospinal fluid buildup is complex and requires expertise. This happens by neuroimaging studies: ultrasonography in the prenatal period (before birth) and in infancy, and computed tomography (CT) or magnetic resonance imaging (MRI) in older children


I just put this out here for people to read if they like :)
London 2005
Toronto 2011 night 2
Hamilton 2011
London 2013
Post edited by Unknown User on
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Comments

  • in_hiding79in_hiding79 Posts: 4,315
    That is another reason not to have children.......how awful!! :(
    And so the lion fell in love with the lamb...,"
    "What a stupid lamb."
    "What a sick, masochistic lion."
  • Ms. HaikuMs. Haiku Washington DC Posts: 7,279
    I had a heart shunt. When I was 21 months doctors cut my back open and took a vein or artery or something from my right arm and put it in there to drain fluids from my heart. Although I'm a righty my left arm is stronger. My back looks like I've been attacked by a shark.

    Doctors obviously take lessons in interpretive art before they cut me up :)

    My mom said the shunt worked really well. I think it's pretty common procedure for kids expected to have open heart surgery when they are 5 or so.

    I don't remember that at all. When I was five I was scratching what I thought was a mosquito bite on my side, but it was actually a scar from that procedure.
    There is no such thing as leftover pizza. There is now pizza and later pizza. - anonymous
    The risk I took was calculated, but man, am I bad at math - The Mincing Mockingbird
  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    some people have asked about my name on here, and i just put this on here to clear that i wasn't joking when i explained about it a few months ago, that i indeed have a shunt and it saved my life.
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
  • Ms. HaikuMs. Haiku Washington DC Posts: 7,279
    kenshunt wrote:
    some people have asked about my name on here, and i just put this on here to clear that i wasn't joking when i explained about it a few months ago, that i indeed have a shunt and it saved my life.
    Gotcha! Yep, sounds like it saved your life. Three cheers for you!
    There is no such thing as leftover pizza. There is now pizza and later pizza. - anonymous
    The risk I took was calculated, but man, am I bad at math - The Mincing Mockingbird
  • That is another reason not to have children.......

    :confused:
  • Ms. HaikuMs. Haiku Washington DC Posts: 7,279
    That is another reason not to have children.......how awful!! :(
    Depends how a person handles hospital situations. If a person can't handle stress then they shouldn't have children no matter what.

    [On a side note: I don't accept parents opting for procedures that demean the child in order to add convenience to the parents' lives. I'm not a parent, but as a patient I know, believe me, we are demeaned enough.]

    My mom's a rock in these types of situations. Totally there every step of the way, and I never thought she regretted having me.

    A parent has to be strong knowing that his/her child is going through stuff like that. A parent has to be there for the child. When I woke up in ICU right after my second open heart surgery, I looked to my left and my mom was staring straight at me. One of the best moments of my life, oddly enough.

    A parent also has to be educated on the process. Do research, find the best doctors, ask questions. Is this necessary, is that necessary, what are possible side effects? A child's right is that the parent would care enough to want to know. Again, my mom rocked in those situations. Incredible role model that's for sure.
    There is no such thing as leftover pizza. There is now pizza and later pizza. - anonymous
    The risk I took was calculated, but man, am I bad at math - The Mincing Mockingbird
  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    Ms. Haiku wrote:
    Depends how a person handles hospital situations. If a person can't handle stress then they shouldn't have children no matter what.

    [On a side note: I don't accept parents opting for procedures that demean the child in order to add convenience to the parents' lives. I'm not a parent, but as a patient I know, believe me, we are demeaned enough.]

    My mom's a rock in these types of situations. Totally there every step of the way, and I never thought she regretted having me.

    A parent has to be strong knowing that his/her child is going through stuff like that. A parent has to be there for the child. When I woke up in ICU right after my second open heart surgery, I looked to my left and my mom was staring straight at me. One of the best moments of my life, oddly enough.

    A parent also has to be educated on the process. Do research, find the best doctors, ask questions. Is this necessary, is that necessary, what are possible side effects? A child's right is that the parent would care enough to want to know. Again, my mom rocked in those situations. Incredible role model that's for sure.

    I had to have another shunt surgery at the age of 7 and i still remeber my mom so happy as i woke up, but thankfully since the age of 7 i haven't had to have anymore operations and haven't had any real problems and im 29 now :)
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
  • elmerelmer Posts: 1,683
    kenshunt wrote:
    In cases of hydrocephalus (a birth defect), a plastic tube called a shunt is used to drain excess cerebrospinal fluid from the brain and carry it to other parts of the body. This tube goes from the affected area of the brain, connects to a one-way valve which sits outside the skull, but beneath the skin, somewhere behind the ear. It then travels down the neck, and into either the abdominal cavity (most common), the pleural cavity (surrounding the lungs) (alternative), or into the atrium of the heart (quite rare). Enough tubing is left in the area it drains to, so that it can uncoil as the child grows.

    Although a shunt generally works well, it may stop working if it disconnects, becomes blocked, or it is outgrown. If this happens the cerebrospinal fluid will begin to accumulate again and a number of physical symptoms will develop. These symptoms may include: listlessness, headaches, irritability, light sensitivity, sound sensitivity, nausea, vomiting, dizziness, vertigo, migraines, seizures, a change in personality, weakness in the arms or legs, excessive head growth (seen infants, children under age 2), strabismus, and double vision. Signs of an infected shunt will be similar to those of a blocked shunt, but they will also have a fever and an elevated white blood cell count. If either of these are suspected, medical attention is needed immediately.

    The shunt failure rate is also relatively high and it is not uncommon for patients to have multiple shunt revisions within their lifetime. By 2-3 years of age, approximately half of shunts that have been inserted have failed and been replaced.

    The diagnosis of cerebrospinal fluid buildup is complex and requires expertise. This happens by neuroimaging studies: ultrasonography in the prenatal period (before birth) and in infancy, and computed tomography (CT) or magnetic resonance imaging (MRI) in older children


    I just put this out here for people to read if they like :)
    I have a cousin who has a shunt in his brain, been a problem from birth, very nearly died. I know he has had it replaced a few times already and at intervals throughout his life will need to again, very likely its exactly as you have descibed. He is 11yrs now, leads a relatively normal life but cannot play football or undertake any activity that could involve his head. There seem to regular visits to specialist hospital units and other probs, my aunt has to rub cream over him every night before he goes to bed though that could be exma(fuck it, wrong spelling I know). strange but his 9yr old brother has ADD and is on medication and his 7yr sister is to soon have surgery to remove a cyst from one of her glands. their really lovely good-natured kids though, the only ones I can recall ever liking.
  • RygarRygar Posts: 8,689
    kenshunt wrote:
    I had to have another shunt surgery at the age of 7 and i still remeber my mom so happy as i woke up, but thankfully since the age of 7 i haven't had to have anymore operations and haven't had any real problems and im 29 now :)

    Good that such things exist.
    Lord knows, those Leafs need all the fans they can get!
  • Ms. HaikuMs. Haiku Washington DC Posts: 7,279
    kenshunt wrote:
    I had to have another shunt surgery at the age of 7 and i still remeber my mom so happy as i woke up, but thankfully since the age of 7 i haven't had to have anymore operations and haven't had any real problems and im 29 now :)
    You rock! So does your mom :)
    There is no such thing as leftover pizza. There is now pizza and later pizza. - anonymous
    The risk I took was calculated, but man, am I bad at math - The Mincing Mockingbird
  • bostonloubostonlou Posts: 2,849
    kenshunt: it's amazing what medicine can do... and I know I thought you were joking months ago about the shunt and i made an inappropriate comment... I apologize again for that

    i truly thought your name was a play on the mike hunt joke... anyway... best wishes
    Don't Believe Everything You Think
  • TrixieCatTrixieCat Posts: 5,756
    I thought that about his name too!
    Glad to hear it worked out.
    My dad just had one put in about 3 mos ago. It was terrifying but he is much better.
    Cause I'm broken when I'm lonesome
    And I don't feel right when you're gone away
  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    elmer wrote:
    I have a cousin who has a shunt in his brain, been a problem from birth, very nearly died. I know he has had it replaced a few times already and at intervals throughout his life will need to again, very likely its exactly as you have descibed. He is 11yrs now, leads a relatively normal life but cannot play football or undertake any activity that could involve his head. There seem to regular visits to specialist hospital units and other probs, my aunt has to rub cream over him every night before he goes to bed though that could be exma(fuck it, wrong spelling I know). strange but his 9yr old brother has ADD and is on medication and his 7yr sister is to soon have surgery to remove a cyst from one of her glands. their really lovely good-natured kids though, the only ones I can recall ever liking.

    Yeah i had my first operation when i wasn't even a year old, then the second at 7 and have been fortunate not to have anymore since.
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    Rygar wrote:
    Good that such things exist.
    Lord knows, those Leafs need all the fans they can get!

    Im thankful for being a Leafs fan, now if they could make the playoffs :)
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    bostonlou wrote:
    so no one ever should have children because they might not be perfect?

    you're really not that fucked in the head are you?




    kenshunt: it's amazing what medicine can do... and I know I thought you were joking months ago about the shunt and i made an inappropriate comment... I apologize again for that

    i truly thought your name was a play on the mike hunt joke... anyway... best wishes

    Thanks, and it can get back to normal and i can say how much of a better sport hockey is compared to basketball and baseball and u should give the bruins another chance:)
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
  • RygarRygar Posts: 8,689
    kenshunt wrote:
    u should give the bruins another chance:)


    Whoa whoa whoa whoa, let's not go saying things we can't take back, agreed??
  • kenshunt wrote:
    In cases of hydrocephalus (a birth defect), a plastic tube called a shunt is used to drain excess cerebrospinal fluid from the brain and carry it to other parts of the body. This tube goes from the affected area of the brain, connects to a one-way valve which sits outside the skull, but beneath the skin, somewhere behind the ear. It then travels down the neck, and into either the abdominal cavity (most common), the pleural cavity (surrounding the lungs) (alternative), or into the atrium of the heart (quite rare). Enough tubing is left in the area it drains to, so that it can uncoil as the child grows.

    Although a shunt generally works well, it may stop working if it disconnects, becomes blocked, or it is outgrown. If this happens the cerebrospinal fluid will begin to accumulate again and a number of physical symptoms will develop. These symptoms may include: listlessness, headaches, irritability, light sensitivity, sound sensitivity, nausea, vomiting, dizziness, vertigo, migraines, seizures, a change in personality, weakness in the arms or legs, excessive head growth (seen infants, children under age 2), strabismus, and double vision. Signs of an infected shunt will be similar to those of a blocked shunt, but they will also have a fever and an elevated white blood cell count. If either of these are suspected, medical attention is needed immediately.

    The shunt failure rate is also relatively high and it is not uncommon for patients to have multiple shunt revisions within their lifetime. By 2-3 years of age, approximately half of shunts that have been inserted have failed and been replaced.

    The diagnosis of cerebrospinal fluid buildup is complex and requires expertise. This happens by neuroimaging studies: ultrasonography in the prenatal period (before birth) and in infancy, and computed tomography (CT) or magnetic resonance imaging (MRI) in older children


    I just put this out here for people to read if they like :)

    This is very interesting!

    It's absolutely amazing that things like this exist. :)
  • bostonloubostonlou Posts: 2,849
    kenshunt wrote:
    Thanks, and it can get back to normal and i can say how much of a better sport hockey is compared to basketball and baseball and u should give the bruins another chance:)

    shunt or not

    when you say stupid things I have to call you out on it ;)
    Don't Believe Everything You Think
  • libragirllibragirl Posts: 4,632
    ugh...I didn't need to see this. :(.
    These cuts are leaving creases. Trace the scars to fit the pieces, to tell the story, you don't need to say a word.
  • Ms. HaikuMs. Haiku Washington DC Posts: 7,279
    libragirl wrote:
    ugh...I didn't need to see this. :(.
    Sometimes I assume that everyone has had a hospital experience, and I'm just preaching to the choir.

    If you really think of it, you've read some ultra-cool stories in this thread. People who have had medical issues through modern medicine, and their own will, are doing really well! Also, you're reading of family members etc who go beyond seeing the disease within a patient and see the person they unconditionally love. I see this as a very cool thread, myself. And, you're learning about some medical procedures.
    There is no such thing as leftover pizza. There is now pizza and later pizza. - anonymous
    The risk I took was calculated, but man, am I bad at math - The Mincing Mockingbird
  • I have Hydrocephalus and a shunt myself. My shunt failed two years ago and it was a pretty sticky situation. My Hydrocephalus affects things I do daily and the way I think about and plan life, but most people I share it with think I'm making it up. I'm often met with 'Yeah but everyone has problems with that, don't they?' and it's fairly patronising.
    'We're learning songs for baby Jesus' birthday. His mum and dad were Merry and Joseph. He had a bed made of clay and the three kings bought him Gold, Frankenstein and Merv as presents.'

    - the great Sir Leo Harrison
  • Ms. HaikuMs. Haiku Washington DC Posts: 7,279
    I have Hydrocephalus and a shunt myself. My shunt failed two years ago and it was a pretty sticky situation. My Hydrocephalus affects things I do daily and the way I think about and plan life, but most people I share it with think I'm making it up. I'm often met with 'Yeah but everyone has problems with that, don't they?' and it's fairly patronising.

    I don't know what hydrocephalus is. However, I empathize with looking at the world and the activities as how they will affect health.

    My heart has easily been one of the main aspects of how my life has shaped. I used to volunteer in hospitals when I was in high school - why? - well, I'm pretty used to them. Currently, I question what doctors think is best for me or the general population- why? - well, I've been a patient, and started to realize some things about how I was treated.

    I want to have kids, but one doctor said I should be heavily monitored, and another said, absolutely no way. Definitely affects my drive to date and form a committed relationship, you know. The last time I saw heart doctors for a check up in 2000 I decided I didn't need them anymore. I'm done with them and their schemes to use me as a guinea pig for *not-yet-FDA-approved* procedures. How dare they treat me like that. However, it's like the ghosts of the hospital visits will forever be in my head.

    How can doctors argue against 33 years surgery-free is how I see it. Also, if I run a marathon that's another form of evidence I can use against their naysaying. That's a pretty big reason for me to run a marathon. The first time I ran 10 miles I was so happy! Not only could I do it, but look, how can doctors argue against that? How can doctors say I'm not healthy? I wasn't out-of-breath afterwards. Considering what I've experienced it still amazes me that Brian Roberts of the Orioles had open heart surgery and is an all-star baseball player. He rocks!
    There is no such thing as leftover pizza. There is now pizza and later pizza. - anonymous
    The risk I took was calculated, but man, am I bad at math - The Mincing Mockingbird
  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    I have Hydrocephalus and a shunt myself. My shunt failed two years ago and it was a pretty sticky situation. My Hydrocephalus affects things I do daily and the way I think about and plan life, but most people I share it with think I'm making it up. I'm often met with 'Yeah but everyone has problems with that, don't they?' and it's fairly patronising.

    I have had people not believe me either, thinking i just made this shit up, i have had people wanting to touch my tube lol, it's fun sometimes but if they only knew that sometimes it's tough to think, concentrate and other stuff then they might understand, but i am thankful for this shunt and thankful that my shunt specialist flew some kid with an enlarged head into Canada from Jamaica and performed emergency surgery to save this young boys life out of the goodness of his heart :)
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
  • libragirllibragirl Posts: 4,632
    Ms. Haiku wrote:
    Sometimes I assume that everyone has had a hospital experience, and I'm just preaching to the choir.

    If you really think of it, you've read some ultra-cool stories in this thread. People who have had medical issues through modern medicine, and their own will, are doing really well! Also, you're reading of family members etc who go beyond seeing the disease within a patient and see the person they unconditionally love. I see this as a very cool thread, myself. And, you're learning about some medical procedures.

    Well it's not that im criticizing the author of the thread, I know someone with hydroencephalus and he has a shunt. He never goes to the doctor and Im always nagging him. This just reminds me of him.
    These cuts are leaving creases. Trace the scars to fit the pieces, to tell the story, you don't need to say a word.
  • CJMST3KCJMST3K Posts: 9,722
    kenshunt wrote:
    In cases of hydrocephalus (a birth defect), a plastic tube called a shunt is used to drain excess cerebrospinal fluid from the brain


    What if there is excess nugat - like nugat from a candy bar. Can the tube re-route the nugat from the brain into the mouth?
    ADD 5,200 to the post count you see, thank you. :)
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  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    CJMST3K wrote:
    What if there is excess nugat - like nugat from a candy bar. Can the tube re-route the nugat from the brain into the mouth?

    I don't get this, please explain.
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
  • CJMST3KCJMST3K Posts: 9,722
    kenshunt wrote:
    I don't get this, please explain.

    'twas a bad joke. :)
    ADD 5,200 to the post count you see, thank you. :)
    *NYC 9/28/96 *NYC 9/29/96 *NJ 9/8/98 (front row "may i play drums with you")
    *MSG 9/10/98 (backstage) *MSG 9/11/98 (backstage)
    *Jones Beach 8/23/00 *Jones Beach 8/24/00 *Jones Beach 8/25/00
    *Mansfield 8/29/00 *Mansfield 8/30/00 *Nassau 4/30/03 *Nissan VA 7/1/03
    *Borgata 10/1/05 *Camden 5/27/06 *Camden 5/28/06 *DC 5/30/06
    *VA Beach 6/17/08 *DC 6/22/08 *MSG 6/24/08 (backstage) *MSG 6/25/08
    *EV DC 8/17/08 *EV Baltimore 6/15/09 *Philly 10/31/09
    *Bristow VA 5/13/10 *MSG 5/20/10 *MSG 5/21/10
  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    CJMST3K wrote:
    'twas a bad joke. :)

    I guess so, i don't get it:)
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
  • xscorchoxscorcho Posts: 409
    how common is this?
    seems several people here know someone who has a shunt, yet ive never heard of it!
  • kenshuntkenshunt London, Ontario, Canada Posts: 2,863
    xscorcho wrote:
    how common is this?
    seems several people here know someone who has a shunt, yet ive never heard of it!

    I'm the only person i know with one.
    London 2005
    Toronto 2011 night 2
    Hamilton 2011
    London 2013
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