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jadiee-x
03-10-2009, 06:37 AM
So,
yes this is ANOTHER topic I've created here. I've posted a few posts on facebook, on Hydrocephalus and shunt groups about this and quite a few people have got back to me surprising saying they've experienced it and queried it, with different outcomes.

So heres the thing.
As many of you know from previous posts, I have an arachnoid cyst and had a VP shunt fitted at 13 months, revised at 4 years and then also at 16 years.

It was revised at 16 due to displaying chronic shunt malfunction shortly after being inserted with an ICP monitor.
Between the time of the insertion of 'the bolt' I experienced this horrible gripping pain which felt like someone was squeezing my shunt area as hard as they could with hands made from pins. This was the first time i had EVER experienced this.
Well i slowly went downhill with the symptoms and eventually into a coma. Thats when i was revised fully.
My valve was changed form a low pressure to a high pressure in that operation.

Then the story goes on, in and out of hospital with other distal problems and tests associating pain i got in my abdomen. A assistant NS informed us that i had a small brainbleed when i had my shunt revised before. Whether this was due to ICP bolt or the shunt malfunctioning, we havent been told.

During this time I got the occasional gripping pain, about once every 2 weeks, once a week maybe.
Then began getting slightly more frequent, up to about 3/4 times a week.

Well on 27th Feb, I was converted to a VA shunt to stop the abdominal pain.
I told my NS's assistant about the problems Ive faced since this shunt was put in which includes:
Eyes blacking out more than ever when rising (for a few seconds).
Headaches when i've been upright for quite a while, like when out shopping, traveling, at college.
A more imminent blacking out at times, where i feel very ill and shaky and the need to lie down to recover.
The gripping pain in my head.
&& of course at the time, the abdominal pain.

He planned a full revision because he suspected over drainage but had to go to my NS to get his permission, but after waking up from the operation, i had just been distally converted and still had the same shunt.

I still get all these symptoms, minus the abdominal pain. If anything, the pain in my head has got more intense and is more now like a thumping, but its pretty fierce, literally lasts a second or two, like someones squeezing it then lets go. But a few days ago, say 3 days i think it was, i was out shopping and this pain hit me atleast 30 times, and then also the next day i had it about that amount too, yesterday i got it alot, not quite as much. I must of had this pain almost a 100 times in the past week now.

Has anyone got any ideas as to what this may be?

From facebook groups, people have got back to me about their own experinces, saying:
Infection
Overdrainage
Nerves
Bleeding etc...

I see my NS at the end of this month for the usual post operation clinic appointment, should i contact him sooner and inform him that my head pain has been more frequent? or should i leave this until i see him?

LIZARD
03-10-2009, 08:09 AM
Aw, honey...(((((((((Jade))))))))))). :(

I'd see about getting in ASAP. It could just be part of the diff in pressure and healing process, but it doesn't sound good to me. In any case, it's worth checking out, and the sooner, the better.

*hug and good luck!

LIZARD :)

hope9
03-10-2009, 09:48 AM
I'm so sorry you're still having pain! :(

I would get it checked. I am hoping it's not, but it could be under drainage now. So it's better to be seen ASAP just to be on the safe side!

Please let us know what your nsg says, too.

Suecr
03-19-2009, 01:55 PM
Sorry to hear about your troubles, I hope you find some relief! Arachnoid Cysts are tough to deal with and they cause numerous problems and are different from straight hydro cases. Again, I hope your problems are resolved soon.

slp
03-25-2009, 09:23 AM
My 14 yo has a VP shunt and she has severe over-drainage. Interestingly, one doctor recommended a VA as the solution. So I guess it doesn't work for everyone if you have over drainage now and you didn't with the VP. Her headaches as so severe now she hasn't been to school much this year at all. She wears a lumbar support belt to raise her pressure, which helps a bit but not enough.

I wonder what has worked for others with overdrainage?

jadiee-x
03-25-2009, 10:38 AM
...its possible overdrainage, but this hasnt been confirmed, just suspected.
This was when i had my low pressure VP shunt valve was changed to a high pressure. Since my VA shunt, the headache side of things havent changed, as the valve wasnt changed, just the distal end converted and redirected.

My headaches arent seriously bad, but they are strong enough to know that they are there, like the kind of headache you would associate with travel sickness.

I didnt expect to experience any discomfort with a VA shunt, but i have experienced, a weight like feeling on my heart since the operation. I didnt even know where my heart was as i have never felt any discomfort in my chest or heart prior the op. But since the conversion i have felt alot of discomfort, not so much that it 'hurts' but its uncomfortable.
Im not sure whether this is normal with a VA shunt as most poeple have the VP therefore its hard to find this out.

SLP-
What kind of valve pressure does your daughter have? Low, Medium, High?
A programmable shunt may be the best option, as the pressure can be changed without the need for shunt revision surgery.

I do hope that your daughter gets sorted out very soon, best of luck to you.

slp
03-25-2009, 01:23 PM
She has a strata programmable valve. It doesn't seem to matter what pressure she is set at, the symptoms don't change. Interesting about the heart pressure. You are right, we have to try and find similiar patients on our own, the docs don't seem to have alot of patients to compare to.
Sara

jadiee-x
03-25-2009, 03:06 PM
Blimey that is bizarre, does she have an anti-siphon device too?
thats suppose to stop overdraining also.
i havent got one of these so im not familiar with it but its what ive heard.

happygirl
05-14-2009, 03:06 AM
Does she have shunt infection (http://forum.gabrielslife.org/)??? Because shunt infections are the most serious complication related to the treatment of hydrocephalus. They most commonly occur within one to two months following a placement or revision procedure. It is also known that infection represents the most expensive burden of CSF shunt implantation; an average of 8-45 thousands of dollars are needed for each treated patient. The most common germs involved in early shunt infections are Staphylococcus Epidermidis and Staphylococcus Aureus; these bacteria may enter during surgery, from hair follicles and/or sebaceous glands opened by the surgical incision.
here are What Causes Shunt Infections?

* Bacteria being introduced to one of the incisions during surgery.

* Placement of an improperly sterilized shunt valve or catheter.

* An infection near the distal end of the shunt system, such as peritonitis for VP shunt placements. An infection near the distal end is also referred to as a pseudocyst, which is a collection of infected fluid that forms a cyst around the tip of the distal catheter.

* Length of time the shunt procedure takes. The longer the procedure, the greater risk for infection.