External CSF Shunts

Abstract

The insertion of an external ventricular drainage (EVD) is a common practice in neurosurgery, especially in pediatrics. This approach has been developed and evolved in the last century and is currently considered a standard technique. However, in spite of this standardization, EVD placement can be associated with different complications, and the infection is the most important one, with significant associated morbidity and mortality. The present chapter summarizes the main aspects about EVDs in the pediatric population, emphasizing in the indications for its insertion, its complications, and the protocols to avoid bad functional results.