{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:27:17Z","timestamp":1783776437701,"version":"3.55.0"},"reference-count":0,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2008,3,6]],"date-time":"2008-03-06T00:00:00Z","timestamp":1204761600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2008,3,6]],"date-time":"2008-03-06T00:00:00Z","timestamp":1204761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Neurosurg"],"abstract":"<jats:p>Problems may still occur for patients treated for infantile hydrocephalus who graduate to become adults, including unsatisfactory follow-up. We have continued the supervision in an adult institution of 70 children originally treated in the Birmingham Children\u2019s Hospital between 1974 and 1978. In these patients, 33 (16.4%) of a total of 201 shunt revision procedures and 5 of the 8 subtemporal decompressions for slit ventricle syndrome were performed after the age of 16 years. Similarly, 7 shunt infections occurred in this age group. Two patients died from a blocked shunt. Other late complications included blindness (n = 1), endocarditis (n = 1), and renal and heart failure requiring consideration of organ transplantation (n = 1). Also 2 patients developed clinical features of arachnoiditis following earlier lumboperitoneal shunting. An overall good long-term outcome was observed. The majority of children graduated from a normal school (63%) or a school for physically handicapped children (21%). 67% of the patients are socially independent, but live at home with their parents. A further 16% have left their parents\u2019 home and live either on their own (10%) or with their partners (6%). It is clear that although a good social and educational outcome is expected, significant clinical problems do arise during adulthood for patients shunted in infancy, even after a long period of apparent stability. Regular follow-up by surgeons familiar with these problems is essential.<\/jats:p>","DOI":"10.1159\/000120949","type":"journal-article","created":{"date-parts":[[2008,3,7]],"date-time":"2008-03-07T05:47:34Z","timestamp":1204868854000},"page":"127-132","source":"Crossref","is-referenced-by-count":70,"title":["Long-Term Complications of Hydrocephalus"],"prefix":"10.1159","author":[{"given":"Spiros","family":"Sgouros","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connor","family":"Malluci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony D.","family":"Hockley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2008,3,6]]},"container-title":["Pediatric Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000120949","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T17:16:23Z","timestamp":1777742183000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000120949"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,3,6]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1159\/000120949","archive":["Portico"],"relation":{},"ISSN":["1016-2291","1423-0305"],"issn-type":[{"value":"1016-2291","type":"print"},{"value":"1423-0305","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,3,6]]}}}