{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:34:25Z","timestamp":1745469265086,"version":"3.40.4"},"reference-count":20,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Neurosurg"],"published-print":{"date-parts":[[2011]]},"abstract":"<i>Objective:<\/i> Ventriculoperitoneal shunting is the current mainstay of treatment for children with tuberculous meningitis with hydrocephalus. However, ventriculoperitoneal shunting is highly associated with complications, and more importantly, long-term, indwelling shunt devices may adversely affect children\u2019s spirits and psychological health. Therefore, there is clearly a need to explore methods of CSF diversion to avoid ventriculoperitoneal shunting. <i>Methods:<\/i> We studied 6 cases of children with tuberculous meningitis with hydrocephalus in whom external drainage from the ventricle to the subcutaneous abdomen was adopted. Outcomes were assessed over a 6- to 9-month follow-up period based on improvements in radiological features, such as ventricular morphology, as well as the need for ventriculoperitoneal shunting and any complications. <i>Results:<\/i> The drainage tubes were removed in 4 cases 4\u20136 months after the modified external ventricular drainage surgery, and 2 patients went on to receive a ventriculoperitoneal shunt. All patients\u2019 CSF protein and cell counts returned to normal, and imaging showed improved ventricular morphology and no intracranial secondary infection. <i>Conclusion:<\/i> In our preliminary study, the modified ventricular drainage device can produce satisfactory outcomes and relatively safe effects and may help some patients to avoid ventriculoperitoneal shunt placement.<\/jats:p>","DOI":"10.1159\/000330540","type":"journal-article","created":{"date-parts":[[2011,10,18]],"date-time":"2011-10-18T07:36:34Z","timestamp":1318923394000},"page":"108-112","source":"Crossref","is-referenced-by-count":1,"title":["Modified External Ventricular Drainage in Pediatric Tuberculous Meningitis: Is It Possible to Avoid Ventriculoperitoneal Shunt Placement?"],"prefix":"10.1159","volume":"47","author":[{"given":"Jian","family":"Lin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hang-song","family":"Sheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mao-de","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Yin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fen-chun","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2011,9,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00381-003-0804-3"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1080%2F02688690020036801"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2F0002-9343%2881%2990551-9"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1055%2Fs-2005-837436"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1159%2F000121229"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007%2Fs003810050186"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00335127"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.4103%2F0028-3886.57783"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00381-008-0620-x"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3171%2Fjns.1971.35.3.0309"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3171%2Fjns.1991.74.1.0064"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.surneu.2004.03.011"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007%2Fs003810050461"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097%2F00006123-200005000-00015"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007%2Fs003810000307"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1055%2Fs-2008-1052231"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3171%2Fjns.2002.97.3.0519"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00588066"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1259%2Fbjr%2F23641059"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1136%2Fadc.81.3.221"}],"container-title":["Pediatric Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/330540","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/330540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:30:21Z","timestamp":1745433021000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000330540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":20,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2011,10,1]]},"published-print":{"date-parts":[[2011,10,18]]}},"URL":"https:\/\/doi.org\/10.1159\/000330540","archive":["Portico"],"relation":{},"ISSN":["1016-2291","1423-0305"],"issn-type":[{"type":"print","value":"1016-2291"},{"type":"electronic","value":"1423-0305"}],"subject":[],"published":{"date-parts":[[2011]]}}}