Re do surgery for blocked v p shunt due to cyst formation hydrocephalus

Sample Opinion // Neurosurgery // Blocked Shunt V.P. Shunt due to Cyst// Re-do Ventriculoperitoneal Shunt Surgery// Hydrocephalus and Cyst Removal

Findings: As per the shared reports, the baby previously underwent shunting of the right lateral ventricle, and the shunt catheter is properly positioned but possibly blocked. The given images and report suggest internal hydrocephalus with asymmetry of the lateral ventricles.

The report also mentions but does not confirm a cyst formation in the prepontine cistern extending into the brainstem. The cyst, if confirmed on the radiological images, can be the reason for blockage of the previously implanted VP shunt, though not necessarily.

Hydrocephalus is the abnormal buildup of cerebrospinal fluid (CSF) in the brain, which increases pressure on brain tissue and can cause damage.

We will need to confirm the reason for CSF accumulation and the failure of the previously done VP shunt

Investigations: The baby needs to undergo detailed clinical and physical evaluations, which include some investigations such as MRI Brain, CSF study, blood investigations, and other routine tests.

Possible line of treatment: Baby Rakhim (from Uzbekistan) will need to undergo redo VP shunt placement, and if the cyst is confirmed, she will also need cyst removal.

A Ventriculoperitoneal (VP) shunt procedure places a tube system to drain excess cerebrospinal fluid (CSF) from the brain into the abdominal cavity. The surgery involves creating a small hole in the skull to insert a catheter into a brain ventricle, connecting it to a valve and a second catheter that runs under the skin to the abdomen. The excess fluid then drains into the peritoneal cavity, where the body absorbs it.

Kindly note: The advised plan is solely based on the reports shared with us. The final line of treatment will be decided post the physical and clinical evaluations of the patient on arrival only.

We would recommend the following hospitals with top Neurosurgeons as follows:

1. Artemis Hospital // Treating Doctor: Dr. Aditya Gupta

2. BGS Gleneagles Global Hospital  // Treating Doctor: Dr. Keshav G. C.

3. Amrita Hospital  // Treating Doctor: Dr. Anandh Balasubramaniam

4. Max Healthcare // Treating Doctor: Dr. Arun Saroha

5. Sanar International Hospital // Treating Doctor: Dr. Harnarayan Singh

Estimated costs:

The Estimated cost of Investigations at the various hospitals will be approx.: $700- $900

The Estimated cost of V-P- Shunt procedure along with cyst removal at Various Hospitals will be as follows –

Kindly note: The given cost is a tentative cost based on the shared information. If the investigations shed a new picture, the cost may vary accordingly. 

Stay in India: The patient will require 1-2 days for initial evaluations on an OPD basis.  

The patient will require 4-5 days of hospitalization for surgery. Post-discharge, you may require 10-15 days for follow-up and recuperation

Total Length Stay in India will be approx. 3 weeks.

Inclusions:
 
1.      The cost of all investigations related to the treatment.
2.      The cost of the treatment.
3.      The doctor’s fee and surgery charges.
4.      The stay of the patient and 1 attendant during hospital admission.
5.      All meals for the patient and the attendant as per the menu while in the hospital.
6.      Medical Consumables and Medicines while in hospital.
7.      The fee for a dietitian and nursing while in the hospital.
8.      It also includes complementary Airport Transfers, Forex Services, and assistance.

Exclusions:
1.       Any consultation other than in discussion
2.       Extended stay
3.       Treatment for any other illness
4.       If & when the patient is shifted to the ICU (Intensive Care Unit), then the attendant has to vacate the room and shift to a Guest House near the Hospital
 

On Arrival:

The patient and his attendants will be received at the airport by our Arabic-speaking representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with the reasonably charged accommodation near the hospital.  Patient and attendant may arrange 35-50 USD per day toward accommodation and food at the Guest House.

Hope I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer & shall look forward to assisting you.

Regards,

Ankush