Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review
Objective: This scoping review aimed to describe studies that evaluate the management of cryptococcal meningitis (CM) using cerebrospinal fluid (CSF) shunts, types of shunts used, and clinically relevant patient outcomes. Methods: We searched in the following databases: PubMed, Web of Science/Core c...
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| Formato: | Artículo de revisión |
| Lenguaje: | inglés |
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2024
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| author | Cornejo-Venegas, Gonzalo Carreras, Xosse Salcedo, Andrea S. Soriano‐Moreno, David R. Salinas, Jorge L. Alave Rosas, Jorge Luis |
| author_browse | Alave Rosas, Jorge Luis Carreras, Xosse Cornejo-Venegas, Gonzalo Salcedo, Andrea S. Salinas, Jorge L. Soriano‐Moreno, David R. |
| author_facet | Cornejo-Venegas, Gonzalo Carreras, Xosse Salcedo, Andrea S. Soriano‐Moreno, David R. Salinas, Jorge L. Alave Rosas, Jorge Luis |
| author_sort | Cornejo-Venegas, Gonzalo |
| collection | Producción científica |
| description | Objective: This scoping review aimed to describe studies that evaluate the management of cryptococcal meningitis (CM) using cerebrospinal fluid (CSF) shunts, types of shunts used, and clinically relevant patient outcomes. Methods: We searched in the following databases: PubMed, Web of Science/Core collection, Embase, the Cochrane Library, and clinicaltrials.gov on 1 April 2022. We included two-arm and one-arm cohort studies that evaluated clinically relevant patient outcomes. Case reports were used to describe the type of CSF shunts used and the rationale behind its selection. The selection and extraction processes were independently performed by two authors. Results: This study included 20 cohort studies and 26 case reports. Only seven cohort studies compared two groups. Ventriculoperitoneal shunt was the most commonly used type of shunt (82.1%). The main indications for placing a shunt were persistently high opening pressure (57.1%) and persisting neurological symptoms or deterioration (54.3%). Cohort studies suggest that patients with shunt showed improvement in some outcomes such as neurological symptoms and hospital stay length. The most common shunt complications were post-operative fever (1-35.6%) and shunt obstruction (7-16%). Conclusion: CSF shunts may improve some clinically relevant outcomes in patients with CM, but the evidence is very uncertain. |
| format | Review |
| id | oai:cris.upeu.edu.pe:20.500.15037/157 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/1572026-11-02T12:57:04ZCerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping reviewCornejo-Venegas, GonzaloCarreras, XosseSalcedo, Andrea S.Soriano‐Moreno, David R.Salinas, Jorge L.Alave Rosas, Jorge LuisMeningitisIntracranial HypertensionCryptococcalCerebrospinal Fluid ShuntsObjective: This scoping review aimed to describe studies that evaluate the management of cryptococcal meningitis (CM) using cerebrospinal fluid (CSF) shunts, types of shunts used, and clinically relevant patient outcomes. Methods: We searched in the following databases: PubMed, Web of Science/Core collection, Embase, the Cochrane Library, and clinicaltrials.gov on 1 April 2022. We included two-arm and one-arm cohort studies that evaluated clinically relevant patient outcomes. Case reports were used to describe the type of CSF shunts used and the rationale behind its selection. The selection and extraction processes were independently performed by two authors. Results: This study included 20 cohort studies and 26 case reports. Only seven cohort studies compared two groups. Ventriculoperitoneal shunt was the most commonly used type of shunt (82.1%). The main indications for placing a shunt were persistently high opening pressure (57.1%) and persisting neurological symptoms or deterioration (54.3%). Cohort studies suggest that patients with shunt showed improvement in some outcomes such as neurological symptoms and hospital stay length. The most common shunt complications were post-operative fever (1-35.6%) and shunt obstruction (7-16%). Conclusion: CSF shunts may improve some clinically relevant outcomes in patients with CM, but the evidence is very uncertain.Reviewhttps://pubmed.ncbi.nlm.nih.gov/38333229https://journals.sagepub.com/doi/pdf/10.1177/20499361241228666https://doi.org/10.1177/20499361241228666PMC1085176310.1177/20499361241228666https://hdl.handle.net/20.500.15037/15738333229W4391635607enTherapeutic Advances in Infectious Disease2049-93612049-937X2024-01-012026-06-13T07:48:32Z2026-06-13T07:48:32Z |
| spellingShingle | Meningitis Intracranial Hypertension Cryptococcal Cerebrospinal Fluid Shunts Cornejo-Venegas, Gonzalo Carreras, Xosse Salcedo, Andrea S. Soriano‐Moreno, David R. Salinas, Jorge L. Alave Rosas, Jorge Luis Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review |
| title | Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review |
| title_full | Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review |
| title_fullStr | Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review |
| title_full_unstemmed | Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review |
| title_short | Cerebrospinal fluid shunting for the management of cryptococcal meningitis: a scoping review |
| title_sort | cerebrospinal fluid shunting for the management of cryptococcal meningitis a scoping review |
| topic | Meningitis Intracranial Hypertension Cryptococcal Cerebrospinal Fluid Shunts |
| topic_facet | Meningitis Intracranial Hypertension Cryptococcal Cerebrospinal Fluid Shunts |
| url | https://pubmed.ncbi.nlm.nih.gov/38333229 https://journals.sagepub.com/doi/pdf/10.1177/20499361241228666 https://doi.org/10.1177/20499361241228666 https://hdl.handle.net/20.500.15037/157 |
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