{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T16:21:15Z","timestamp":1794327675884,"version":"4.9.0"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,15]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Postinfectious hydrocephalus (PIH) is a severe complication following CNS infections and often requires urgent CSF diversion. However, definitive shunt placement procedures are often unfeasible in this setting due to active infection or residual inflammatory debris. In such scenarios, ventriculosubgaleal shunt (VSGS) insertion has emerged as a widely used temporary strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The authors conducted a systematic search of publications in the PubMed, Embase, and Cochrane Library databases, covering studies published up to June 2025. Risk of bias was assessed using Cochrane\u2019s Risk of Bias in Non-randomized Studies of Interventions tool. Data analysis was performed using RStudio (version 2025.05.0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Seven studies involving 225 patients were included in the analysis. Meta-analysis of the reviewed studies revealed that the conversion rate to ventriculoperitoneal shunt placement was 88.6% (95% CI 68.78%\u201396.48%, I\n                      <jats:sup>2<\/jats:sup>\n                      = 76.1%). Among the studies, 3 reported the time to conversion, with a 95% CI of 30.13\u201356.58 days (I\n                      <jats:sup>2<\/jats:sup>\n                      = 89.4%). Regarding complications, the revision rate was 25.66% (95% CI 19.37%\u201333.15%, I\n                      <jats:sup>2<\/jats:sup>\n                      = 0%), the obstruction rate was 13.7% (95% CI 6.34%\u201327.12%, I\n                      <jats:sup>2<\/jats:sup>\n                      = 48.5%), the infection rate was 5% (95% CI 1.03%\u201321.09%, I\n                      <jats:sup>2<\/jats:sup>\n                      = 68.7%), and the migration rate was 3.87% (95% CI 1.46%\u20139.87%, I\n                      <jats:sup>2<\/jats:sup>\n                      = 0%). The overall mortality rate was 13.9% (95% CI 5.21%\u201332.16%, I\n                      <jats:sup>2<\/jats:sup>\n                      = 68.2%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>VSGS placement represents an acceptable temporary therapy for PIH. However, more studies with larger cohorts and direct comparisons with other therapeutic strategies are necessary to establish the efficacy and long-term outcomes of VSGS use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2026.1.peds25407","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T02:23:43Z","timestamp":1778898223000},"page":"188-194","source":"Crossref","is-referenced-by-count":0,"title":["Ventriculosubgaleal shunt placement as a temporary option for the management of postinfectious hydrocephalus: a single-arm meta-analysis"],"prefix":"10.3171","volume":"38","author":[{"given":"Igor V.","family":"Faquini","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gercivan dos Santos","family":"Alves","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Universidade de Pernambuco, Garanhuns, Pernambuco; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Auricelio B.","family":"Cezar Junior","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Euripides A. S.","family":"Lemos","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando L.","family":"Lages","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidade de Pernambuco, Garanhuns, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adelson B.","family":"da Silva Junior","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidade de Pernambuco, Garanhuns, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Fernando","family":"Barbosa de Moura","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidade de Pernambuco, Garanhuns, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emian F. P.","family":"Gomes","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidade de Pernambuco, Garanhuns, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o E. Silva","family":"de Lima","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidade de Pernambuco, Garanhuns, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matheus Q.","family":"Monteiro","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidade de Pernambuco, Garanhuns, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o G.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidade de Pernambuco, Garanhuns, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendell F.","family":"de Lima Cabral","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidade de Pernambuco, Garanhuns, Pernambuco, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"6","key":"b1","series-title":"Childs Nerv Syst","first-page":"1771","article-title":"Comparative study between ventriculosubgaleal shunt and external ventricular drain for management of post infective hydrocephalus among pediatrics","volume":"40","author":"Ismail A","year":"2024","unstructured":"Ismail A, Taha A, Badr H, Zaher A, Elbaz S, Khalil A. 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