MATERIAL and METHODS: We included cases with (n=30) and without (n=177) malposition of the ventricular end of the shunt from the pediatric cases that had undergone VP and ventriculosubgaleal shunt surgery in our hospital between 2016 and 2024.

RESULTS: Among our shunt cases, spinal dystraphism etiology (p=0.018) and premature-germinal matrix hemorrhage etiology (p=0.014) were significantly higher in the malposed shunt group. Antenatal hydrocephalus etiology was significantly higher in the group without a malposed shunt (p=0.002). Revision was required in 116 of the total 207 cases (56.0%). Thirteen of the patients (6.3%) were revised due to malposition detection. In our statistical analysis, the frequency of surgery due to previous shunt malposition was found to be significantly higher in the patients who were followed up with malposition (p=0.025).

CONCLUSION: In our clinic, 30 cases were followed up without any clinical or radiological findings even though they had malposition, and there were no problems during long-term follow-up. Moreover; It was determined that a previous history of revision surgery due to shunt malposition, spina bifida, and premature germinal matrix hemorrhage etiology increased the risk of developing shunt malposition. Anahtar Kelimeler : Ventriculoperitoneal shunt, Pediatric, Shunt malposition