Ventriculoperitoneal shunt in patients with leptomeningeal metastasis Journal Article


Authors: Omuro, A. M. P.; Lallana, E. C.; Bilsky, M. H.; De Angelis, L. M.
Article Title: Ventriculoperitoneal shunt in patients with leptomeningeal metastasis
Abstract: The authors reviewed 37 patients with leptomeningeal metastasis (LM) who required a ventriculoperitoneal shunt (VP shunt) for management of intracranial hypertension. Improvement was seen in 27 (77%) patients; subdural hematoma developed in one and shunt malfunction in three. Median overall survival was 2 months (range 2 days to 3.6 years) after VP shunt placement, but there was no procedure-related mortality. The prognosis of LM remained poor, but VP shunt can be an effective palliative tool when required. Copyright © 2005 by AAN Enterprises, Inc.
Keywords: adult; cancer survival; clinical article; treatment outcome; aged; aged, 80 and over; middle aged; survival rate; treatment failure; review; brain neoplasms; magnetic resonance imaging; cancer palliative therapy; palliative care; lung neoplasms; tomography, x-ray computed; breast neoplasms; cancer mortality; brain; meningeal neoplasms; carcinoma; neoplasm metastasis; brain ventricle peritoneum shunt; meningeal metastasis; hydrocephalus; subarachnoid space; intracranial hypertension; subdural hematoma; ventriculoperitoneal shunt
Journal Title: Neurology
Volume: 64
Issue: 9
ISSN: 0028-3878
Publisher: Lippincott Williams & Wilkins  
Date Published: 2005-05-10
Start Page: 1625
End Page: 1627
Language: English
DOI: 10.1212/01.wnl.0000160396.69050.dc
PUBMED: 15883329
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 32" - "Export Date: 24 October 2012" - "CODEN: NEURA" - "Source: Scopus"
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  1. Mark H Bilsky
    319 Bilsky
  2. Antonio Marcilio Padula Omuro
    204 Omuro