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To Shunt or not to Shunt?

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In partial response to what wrote to Alax...

I hope not to further confuse the issue here,

but I feel I must chime in with my expereince

on this issue.

I have been shunted for high intracranial pressure

for most of my life. From 1971 - 2003 with an LP

shunt, and 2003 - to the present with a VP shunt.

My VP shunt history is:

2003: Codman Hakim

2004: Codman Medos (removed due to infection)

2005 - now Medtronic Strata. Setting # 2

Codmans are fussy and prone to failure. While they have

many settings and can be fine tuned to an exact pressure setting,

they clog easily and fail. My second shunt became infected

because of an incision that did not heal correctly behind the

ear. I have EDS. The incision did not close right, and became

infected. It was a slow growth bacteria, not meningitus. The

tubing became infected, not the shunt. Infection flows downward,

not upward.

Despite decompression surgery and tethered cord

surgery, I still need my shunt. I am not able to

do with out it.

My headaches were gone after the TC surgery for only

about a month, and then they came back. I am on

just as much pain medication for the headaches as

before surgery, if not more now, because of growing

intolerence to narcotic pain meds.

I have not said much about my Tethered Cord surgery

expereince, except to a few that know me well.

It was not the great success of improvements that I

was hoping for. But, in all fairness to the TCI surgeons,

it was not less than what they told me. I was not given

any promises, because of my long history of high intracranial

pressure, that the tethered cord surgery would relieve

my high ICP issues. But I did have high hopes, because

of the successes I had read about. TC surgery did

imrove my neuro bladder function. I am grateful

that I do not live in the bathroom anymore. I have

adhesive arachnoiditis, and other spinal issues, that

has made my recovery more difficult and " mixed results " .

Shunts are far from perfect. BUT, when there is no

other recourse to keep the fluid off your brain, they

may be the best option there is to not only relieve

the high ICP pain, but save ones eyesight as well.

Prolonged high intracranial pressure can be damaging

to the optic nerve. And the surgery to prevent that

damage is not a pleasant one to go through. A shunt

surgery is much easier.

The risks of infection from the hardware in your body

is rare. The risks of infection from removing the hardware

is greater than leaving it in there.

So, when, when everything else has been considered,

and if a VP shunt is the best option...it is not a bad option

at all.

I am living proof of that.

For over 37 years now.

Respectfully,

Payne

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Guest guest

Hi guys...

I had to chime in with , in regards to this, as well.

I needed the addition of a VP shunt about 6 months after

decompression. I was told from day one that this was a possibility...

Certainly, it is something that I would have preferred to avoid.

However, it essentially gave me my life back. And this was over 17

years ago.

If I can answer any questions, please ask.

Sally R... ACM decompression '91...Hydro with 2 revisions...doing

very well

in Pa with no medications!

>

> In partial response to what wrote to Alax...

>

> I hope not to further confuse the issue here,

> but I feel I must chime in with my expereince

> on this issue.

>

> I have been shunted for high intracranial pressure

> for most of my life. . . .>

> Shunts are far from perfect. BUT, when there is no

> other recourse to keep the fluid off your brain, they

> may be the best option there is to not only relieve

> the high ICP pain, but save ones eyesight as well.

> Prolonged high intracranial pressure can be damaging

> to the optic nerve. And the surgery to prevent that

> damage is not a pleasant one to go through. A shunt

> surgery is much easier.. .

>

> The risks of infection from the hardware in your body

> is rare. The risks of infection from removing the hardware

> is greater than leaving it in there.

>

> So, when, when everything else has been considered,

> and if a VP shunt is the best option...it is not a bad option

> at all.

>

> I am living proof of that.

>

> For over 37 years now.

>

> Respectfully,

>

> Payne

>

>

>

>

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