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    Patient: Decrease of Consciousness 7 Days Before Admission

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    saskiakonita
    A 12-year-old female patient presented with decreased consciousness for 7 days and seizures for 3 days. On examination, she had neck stiffness and other signs of increased intracranial pressure. Brain CT scan and labs supported diagnoses of communican hydrocephalus due to suspected meningitis. She underwent a ventriculoperitoneal shunt surgery under general anesthesia to drain cerebrospinal fluid from her brain ventricles to her abdomen to treat her hydrocephalus. The surgery was successful, with clear cerebrospinal fluid drained and the shunt placed and tunneled appropriately.

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    Patient: Decrease of Consciousness 7 Days Before Admission

    Uploaded by

    saskiakonita
    19 views9 pages
    A 12-year-old female patient presented with decreased consciousness for 7 days and seizures for 3 days. On examination, she had neck stiffness and other signs of increased intracranial pressure. Brain CT scan and labs supported diagnoses of communican hydrocephalus due to suspected meningitis. She underwent a ventriculoperitoneal shunt surgery under general anesthesia to drain cerebrospinal fluid from her brain ventricles to her abdomen to treat her hydrocephalus. The surgery was successful, with clear cerebrospinal fluid drained and the shunt placed and tunneled appropriately.

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    Original Title

    SHEZA VP SHUNT

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    A 12-year-old female patient presented with decreased consciousness for 7 days and seizures for 3 days. On examination, she had neck stiffness and other signs of increased intracranial pressure. Brain CT scan and labs supported diagnoses of communican hydrocephalus due to suspected meningitis. She underwent a ventriculoperitoneal shunt surgery under general anesthesia to drain cerebrospinal fluid from her brain ventricles to her abdomen to treat her hydrocephalus. The surgery was successful, with clear cerebrospinal fluid drained and the shunt placed and tunneled appropriately.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    19 views9 pages

    Patient: Decrease of Consciousness 7 Days Before Admission

    Uploaded by

    saskiakonita
    A 12-year-old female patient presented with decreased consciousness for 7 days and seizures for 3 days. On examination, she had neck stiffness and other signs of increased intracranial pressure. Brain CT scan and labs supported diagnoses of communican hydrocephalus due to suspected meningitis. She underwent a ventriculoperitoneal shunt surgery under general anesthesia to drain cerebrospinal fluid from her brain ventricles to her abdomen to treat her hydrocephalus. The surgery was successful, with clear cerebrospinal fluid drained and the shunt placed and tunneled appropriately.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 9

    Patient

    A female patient, 12 years old was consulted from pediatric


    emergency unit to surgical unit with:

    Chief complaint :
    Decrease of consciousness 7 days before admission
    Present Illness History
    • Decrease of consciousness 7 days before admission
    • Seizure since 3 days ago, frequency 1x, seizures stop
    after being given anticonvulsant drug
    • She was conscious after seizure
    • Vomitus (-)
    • Fever (+) since 3 weeks ago
    • History of trauma (-)
    • History of tuberculosis (-)
    • No other past illness
    Physical Examination
    •General Appereance : Moderatelly Illness
    •Consiousness : GCS 10 E3M5V2
    •Blood pressure : 120/86 mmHg
    •Heart Rate : 140x/Minutes
    •Respiration Rate : 24x/Minutes
    •Temperature : 37o C

    Eyes : pupil isocor 4mm/4mm, light reflect (+/+)


    Conjungtive was not anemic
    Thorax & Abdomen was normal
    Locally state :
    Head and neck region :
    Ins : Wound (-), Hematome (-)
    Pal : neck stiffness (+), Brudzinski 1 (+)
    Working diagnose:
    •Decrease of conciousness due to susp hydrocephalus
    •Susp. Meningitis

    Laboratorium :
    Hb : 12,1 gr/dl Ur/Cr : 30/0,5
    Wbc : 11.620/ mm3 Na/K/Cl : 130/4,2/96
    Ht : 38 %
    Platelet: 241.000/mm3
    Brain CT-Scan
    Diagnose:
    • Decrease of conciousness due to communican hydro-
    cephalus due to susp meningitis G91.9 Hydrocephalus

    Patien was preapered :


    • Informed consent
    • IVFD
    • NPO
    • Antibiotic
    • Consult to pediatric and covid team -> covid 19 (-)
    • Consult to anesthesiologist
    Plan
    VP shunt
    Operative Report
    • Supine position under general anesthesia
    • Desinfect of the operative field
    • Performed golf stich incision 8 cm
    • Open layer by layer.
    • Performed ventriculostomy ventricular shunt 6cm by
    burrhole
    • The CSF was clear.
    • Incision right paraumbilical 5 cm. Open layer by layer.
    • Tunneling passer from distal to proximal
    • Connect the pump.
    • Insert to peritoneal cavity about 25 cm
    • Close operative wound layer by layer

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