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Values of cerebrospinal fluid cytochemistry in pediatric patients with ventriculoperitoneal shunt
Published 2019-06-28
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Copyright (c) 2019 Marvid Sol Duarte Moreno, German Camacho Moreno, Nury Mancilla Gómez
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Introduction: The ventriculoperitoneal shunt (VPS) is the treatment for hydrocephalus, the cerebrospinal fluid (CSF) is evaluated for the management of its complications; however, information on the values of the cytochemistry in this population is insufficient.
Objective: Describe the characteristics of the CSF cytochemistry of children in VPS management.
Materials and methods: Descriptive observational study, developed in Bogotá (Colombia), from 2008 to 2016. VPS and related procedures records were reviewed. Patients between 6 months and 18 years were included.
Results: A total of 285 records were reviewed, 31 samples were entered. The LCR values were, respectively, for the median and 90% percentile: total leukocytes: 0 and 7 cells / mm3, neutrophils: 0 and 6.8 cells / mm3, lymphocytes: 0 and 2 cells / mm3, proteins: 13.4 and 67.2% mg / dL, glucose: 59 and 27.4 mg / dL.
Discussion: Glucose values evinced a normal rank towards the widest inferior limit with protein values exceeding the values expected. Cellularity is the variable with the lowest variation.
Conclusions: The values of the CSF cytochemistry in patients with VPS are not comparable to those of the healthy population and should be interpreted according to the characteristics of this population.