Skip to main content
Erschienen in: Acta Neurochirurgica 7/2016

15.04.2016 | Review Article - Neurosurgery Training

Can patients with a CSF shunt SCUBA dive?

verfasst von: Dmitri Shastin, Malik Zaben, Paul Leach

Erschienen in: Acta Neurochirurgica | Ausgabe 7/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

Shunt placement for cerebrospinal fluid (CSF) diversion is one of the most commonly performed procedures in neurosurgery. Pleasure or sports diving is a popular sport enjoyed by millions. At present, no guidelines exist to affirm the safety of diving in the presence of a CSF shunt.

Methods

Literature search and review of medical fitness regulations used by diving organisations.

Results

Although the available evidence is anecdotal, no reports of shunt-related complications exist and in vitro studies show lasting functionality.

Conclusions

Patients with CSF shunts should undergo careful evaluation including assessment of their cognitive and physical needs as well as co-morbidities. Having a CSF shunt in situ is not in itself a contraindication to SCUBA diving.
Literatur
1.
Zurück zum Zitat Aschoff A, Kremer P, Benesch C, Fruh K, Klank A, Kunze S (1995) Overdrainage and shunt technology. A critical comparison of programmable, hydrostatic and variable-resistance valves and flow-reducing devices. Childs Nerv Syst 11:193–202CrossRefPubMed Aschoff A, Kremer P, Benesch C, Fruh K, Klank A, Kunze S (1995) Overdrainage and shunt technology. A critical comparison of programmable, hydrostatic and variable-resistance valves and flow-reducing devices. Childs Nerv Syst 11:193–202CrossRefPubMed
2.
Zurück zum Zitat Blount JP, Severson M, Atkins V, Tubbs RS, Smyth MD, Wellons JC, Grabb PA, Oakes WJ (2004) Sports and pediatric cerebrospinal fluid shunts: who can play? Neurosurgery 54:1190–1198CrossRefPubMed Blount JP, Severson M, Atkins V, Tubbs RS, Smyth MD, Wellons JC, Grabb PA, Oakes WJ (2004) Sports and pediatric cerebrospinal fluid shunts: who can play? Neurosurgery 54:1190–1198CrossRefPubMed
3.
Zurück zum Zitat Bourgeois M, Sainte-Rose C, Cinalli G, Maixner W, Malucci C, Zerah M, Pierre-Kahn A, Renier D, Hoppe-Hirsch E, Aicardi J (1999) Epilepsy in children with shunted hydrocephalus. J Neurosurg 90:274–281CrossRefPubMed Bourgeois M, Sainte-Rose C, Cinalli G, Maixner W, Malucci C, Zerah M, Pierre-Kahn A, Renier D, Hoppe-Hirsch E, Aicardi J (1999) Epilepsy in children with shunted hydrocephalus. J Neurosurg 90:274–281CrossRefPubMed
5.
Zurück zum Zitat Chari A, Czosnyka M, Richards HK, Pickard JD, Czosnyka ZH (2014) Hydrocephalus shunt technology: 20 years of experience from the Cambridge Shunt Evaluation Laboratory. J Neurosurg 120:697–707CrossRefPubMed Chari A, Czosnyka M, Richards HK, Pickard JD, Czosnyka ZH (2014) Hydrocephalus shunt technology: 20 years of experience from the Cambridge Shunt Evaluation Laboratory. J Neurosurg 120:697–707CrossRefPubMed
6.
Zurück zum Zitat Cheng JF, Diamond M (2005) SCUBA diving for individuals with disabilities. Am J Phys Med Rehabil 84:369–375CrossRefPubMed Cheng JF, Diamond M (2005) SCUBA diving for individuals with disabilities. Am J Phys Med Rehabil 84:369–375CrossRefPubMed
7.
Zurück zum Zitat Copeland GP, Foy PM, Shaw MD (1982) The incidence of epilepsy after ventricular shunting operations. Surg Neurol 17:279–281CrossRefPubMed Copeland GP, Foy PM, Shaw MD (1982) The incidence of epilepsy after ventricular shunting operations. Surg Neurol 17:279–281CrossRefPubMed
9.
Zurück zum Zitat Dan NG, Wade MJ (1986) The incidence of epilepsy after ventricular shunting procedures. J Neurosurg 65:19–21CrossRefPubMed Dan NG, Wade MJ (1986) The incidence of epilepsy after ventricular shunting procedures. J Neurosurg 65:19–21CrossRefPubMed
10.
Zurück zum Zitat Dayton P, Feilmeier M, Sedberry S (2013) Does postoperative showering or bathing of a surgical site increase the incidence of infection? A systematic review of the literature. J Foot Ankle Surg 52:612–614CrossRefPubMed Dayton P, Feilmeier M, Sedberry S (2013) Does postoperative showering or bathing of a surgical site increase the incidence of infection? A systematic review of the literature. J Foot Ankle Surg 52:612–614CrossRefPubMed
11.
Zurück zum Zitat Diaz JH, Lopez FA (2015) Skin, soft tissue and systemic bacterial infections following aquatic injuries and exposures. Am J Med Sci 349:269–275CrossRefPubMed Diaz JH, Lopez FA (2015) Skin, soft tissue and systemic bacterial infections following aquatic injuries and exposures. Am J Med Sci 349:269–275CrossRefPubMed
12.
Zurück zum Zitat Drake JM, da Silva MC, Rutka JT (1993) Functional obstruction of an antisiphon device by raised tissue capsule pressure. Neurosurgery 32:137–139CrossRefPubMed Drake JM, da Silva MC, Rutka JT (1993) Functional obstruction of an antisiphon device by raised tissue capsule pressure. Neurosurgery 32:137–139CrossRefPubMed
13.
Zurück zum Zitat Huang ET, Hardy KR, Stubbs JM, Lowe RA, Thom SR (2000) Ventriculo-peritoneal shunt performance under hyperbaric conditions. Undersea Hyper Med 27:191–194 Huang ET, Hardy KR, Stubbs JM, Lowe RA, Thom SR (2000) Ventriculo-peritoneal shunt performance under hyperbaric conditions. Undersea Hyper Med 27:191–194
14.
Zurück zum Zitat Jenkinson MD, Gamble C, Hartley J, Hickey H, Hughes D, Blundell M, Griffiths MJ, Solomon T, Mallucci CL (2014) The British antibiotic and silver-impregnated catheters for ventriculoperitoneal shunts multi-centre randomised controlled trial (the BASICS trial): study protocol. Trials 15:4CrossRefPubMedPubMedCentral Jenkinson MD, Gamble C, Hartley J, Hickey H, Hughes D, Blundell M, Griffiths MJ, Solomon T, Mallucci CL (2014) The British antibiotic and silver-impregnated catheters for ventriculoperitoneal shunts multi-centre randomised controlled trial (the BASICS trial): study protocol. Trials 15:4CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Newton HB (2001) Neurological complications of scuba diving. Am Fam Physician 63:2211–2218PubMed Newton HB (2001) Neurological complications of scuba diving. Am Fam Physician 63:2211–2218PubMed
16.
Zurück zum Zitat Paulsen AH, Lundar T, Lindegaard KF (2015) Pediatric hydrocephalus: 40-year outcomes in 128 hydrocephalic patients treated with shunts during childhood. Assessment of surgical outcome, work participation, and health-related quality of life. J Neurosurg Pediatr 16:633–641CrossRefPubMed Paulsen AH, Lundar T, Lindegaard KF (2015) Pediatric hydrocephalus: 40-year outcomes in 128 hydrocephalic patients treated with shunts during childhood. Assessment of surgical outcome, work participation, and health-related quality of life. J Neurosurg Pediatr 16:633–641CrossRefPubMed
17.
Zurück zum Zitat Paulsen AH, Lundar T, Lindegaard KF (2010) Twenty-year outcome in young adults with childhood hydrocephalus: assessment of surgical outcome, work participation, and health-related quality of life. J Neurosurg Pediatr 6:527–535CrossRefPubMed Paulsen AH, Lundar T, Lindegaard KF (2010) Twenty-year outcome in young adults with childhood hydrocephalus: assessment of surgical outcome, work participation, and health-related quality of life. J Neurosurg Pediatr 6:527–535CrossRefPubMed
18.
Zurück zum Zitat Preuss M, Kutscher A, Wachowiak R, Merkenschlager A, Bernhard MK, Reiss-Zimmermann M, Meixensberger J, Nestler U (2015) Adult long-term outcome of patients after congenital hydrocephalus shunt therapy. Childs Nerv Syst 31:49–56CrossRefPubMed Preuss M, Kutscher A, Wachowiak R, Merkenschlager A, Bernhard MK, Reiss-Zimmermann M, Meixensberger J, Nestler U (2015) Adult long-term outcome of patients after congenital hydrocephalus shunt therapy. Childs Nerv Syst 31:49–56CrossRefPubMed
22.
Zurück zum Zitat Toon CD, Sinha S, Davidson BR, Gurusamy KS (2015) Early versus delayed post-operative bathing or showering to prevent wound complications. Cochrane Database Syst Rev 7:CD010075PubMed Toon CD, Sinha S, Davidson BR, Gurusamy KS (2015) Early versus delayed post-operative bathing or showering to prevent wound complications. Cochrane Database Syst Rev 7:CD010075PubMed
Metadaten
Titel
Can patients with a CSF shunt SCUBA dive?
verfasst von
Dmitri Shastin
Malik Zaben
Paul Leach
Publikationsdatum
15.04.2016
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 7/2016
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2800-x

Weitere Artikel der Ausgabe 7/2016

Acta Neurochirurgica 7/2016 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Was nützt die Kraniektomie bei schwerer tiefer Hirnblutung?

17.05.2024 Hirnblutung Nachrichten

Eine Studie zum Nutzen der druckentlastenden Kraniektomie nach schwerer tiefer supratentorieller Hirnblutung deutet einen Nutzen der Operation an. Für überlebende Patienten ist das dennoch nur eine bedingt gute Nachricht.

Thrombektomie auch bei großen Infarkten von Vorteil

16.05.2024 Ischämischer Schlaganfall Nachrichten

Auch ein sehr ausgedehnter ischämischer Schlaganfall scheint an sich kein Grund zu sein, von einer mechanischen Thrombektomie abzusehen. Dafür spricht die LASTE-Studie, an der Patienten und Patientinnen mit einem ASPECTS von maximal 5 beteiligt waren.

Schwindelursache: Massagepistole lässt Otholiten tanzen

14.05.2024 Benigner Lagerungsschwindel Nachrichten

Wenn jüngere Menschen über ständig rezidivierenden Lagerungsschwindel klagen, könnte eine Massagepistole der Auslöser sein. In JAMA Otolaryngology warnt ein Team vor der Anwendung hochpotenter Geräte im Bereich des Nackens.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.