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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 1998  |  Volume : 3  |  Issue : 1  |  Page : 7-9

The role of clinical psychological assessments in the evaluation of shunt malfunction in hydrocephalic children.


Department of Pediatric Surgery, All Institute of Medical Sciences, New Delhi-110029, India

Correspondence Address:
M Bharadwaj
Department of Pediatric Surgery, All Institute of Medical Sciences, New Delhi-110029
India
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: This study was performed on 100 shunt treated hydrocephalic children in whom pre and post-operative clinical psychological assessment was done and expressed as mental performance quotient (MPQ). In 33 of these children the shunt was revised due to blockage. MPQ was also done prior to shunt revision in these 33 children and it was compared with the post-operative MPQ available just prior to the shunt block. The mean fall in MPQ was 17.85 plus minus 9.83 due to the shunt blockage. This study suggests that in shunt treated hydrocephalic children a fall in MPQ of 10 points or more should be indicative of shunt malfunction and these children should be evaluated for it so that corrective measures can be taken without delay.






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