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  • Title: Ventriculoperitoneal shunt in patients with leptomeningeal metastasis.
    Author: Omuro AM, Lallana EC, Bilsky MH, DeAngelis LM.
    Journal: Neurology; 2005 May 10; 64(9):1625-7. PubMed ID: 15883329.
    Abstract:
    The authors reviewed 37 patients with leptomeningeal metastasis (LM) who required a ventriculoperitoneal shunt (VP shunt) for management of intracranial hypertension. Improvement was seen in 27 (77%) patients; subdural hematoma developed in one and shunt malfunction in three. Median overall survival was 2 months (range 2 days to 3.6 years) after VP shunt placement, but there was no procedure-related mortality. The prognosis of LM remained poor, but VP shunt can be an effective palliative tool when required.
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