• Hydrocephalus is not a single disease entity. Treatment should be formulated based on an understanding of the underlying condition.
• Ventricular size is not the sole index by which hydrocephalus and the need for treatment should be evaluated; always correlate with the clinical picture before embarking on surgery.
• A wide range of shunt products are available for the treatment of hydrocephalus; it is recommended that the clinician becomes familiar with the use of a particular shunt system and reserves the more novel shunt valves for specific problem cases.
• The clinical presentation of shunt malfunction is extremely variable; shunt malfunction should always be considered in the presence of new or unexplained symptoms.
• When presented with cases of shunt malfunction, consider whether there is an opportunity to simplify complex shunt systems or perform endoscopic third ventriculostomy.
Was this article helpful?
The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.