%0 Journal Article
%T Cerebrospinal fluid shunt malfunctions: A reflective review.
%A Low SYY
%A Kestle JRW
%A Walker ML
%A Seow WT
%J Childs Nerv Syst
%V 39
%N 10
%D 2023 10 18
%M 37462810
%F 1.532
%R 10.1007/s00381-023-06070-4
%X Pediatric hydrocephalus is a common and challenging condition. To date, the ventriculoperitoneal shunt (VPS) is still the main lifesaving treatment option. Nonetheless, it remains imperfect and is associated with multiple short- and long-term complications. This paper is a reflective review of the current state of the VPS, our knowledge gaps, and the future state of shunts in neurosurgical practice.<BR>The authors' reflections are based on a review of shunts and shunt-related literature.<BR>Overall, there is still an urgent need for the neurosurgical community to actively improve current strategies for shunt failures and shunt-related morbidity. The authors emphasize the role of collaborative efforts amongst like-minded clinicians to establish pragmatic approaches to avoid shunt complications.