Palliative Ventriculoperitoneal Shunt in a Pediatric Patient with Recurrent Metastatic Medulloblastoma

Palliative Ventriculoperitoneal Shunt in a Pediatric Patient with Recurrent Metastatic... The authors present a case report of a pediatric patient with recurrent metastatic medulloblastoma who demonstrated significant clinical improvement after placement of a palliative ventriculoperitoneal (VP) shunt. They also review the medical literature that supports palliative surgical management of hydrocephalus and intracranial hypertension (ICH) caused by leptomeningeal (LM) spread of malignancy. The burdens and benefits of an invasive surgical procedure must always be weighed carefully, especially at end-of-life. Yet for some patients with LM spread and ICH, VP shunting may improve their quality of life, although their prognosis remains poor. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Palliative Medicine Mary Ann Liebert

Palliative Ventriculoperitoneal Shunt in a Pediatric Patient with Recurrent Metastatic Medulloblastoma

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Palliative Ventriculoperitoneal Shunt in a Pediatric Patient with Recurrent Metastatic Medulloblastoma

Abstract

The authors present a case report of a pediatric patient with recurrent metastatic medulloblastoma who demonstrated significant clinical improvement after placement of a palliative ventriculoperitoneal (VP) shunt. They also review the medical literature that supports palliative surgical management of hydrocephalus and intracranial hypertension (ICH) caused by leptomeningeal (LM) spread of malignancy. The burdens and benefits of an invasive surgical procedure must always be weighed carefully, especially at end-of-life. Yet for some patients with LM spread and ICH, VP shunting may improve their quality of life, although their prognosis remains poor.
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Publisher
Mary Ann Liebert, Inc.
Copyright
Copyright 2009, Mary Ann Liebert, Inc.
Subject
Case Discussions in Palliative Medicine
ISSN
1096-6218
eISSN
1557-7740
D.O.I.
10.1089/jpm.2008.0227
Publisher site
See Article on Publisher Site

Abstract

The authors present a case report of a pediatric patient with recurrent metastatic medulloblastoma who demonstrated significant clinical improvement after placement of a palliative ventriculoperitoneal (VP) shunt. They also review the medical literature that supports palliative surgical management of hydrocephalus and intracranial hypertension (ICH) caused by leptomeningeal (LM) spread of malignancy. The burdens and benefits of an invasive surgical procedure must always be weighed carefully, especially at end-of-life. Yet for some patients with LM spread and ICH, VP shunting may improve their quality of life, although their prognosis remains poor.

Journal

Journal of Palliative MedicineMary Ann Liebert

Published: Apr 1, 2009

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