The challenge of schooling children with congenital hydrocephalus submitted to ventriculoperitoneal shunt
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Abstract
Introduction: Congenital hydrocephalus is a disease with social repercussions that may exist concomitantly with motor or cognitive neurological problems, hindering the school inclusion of the affected children. Objective: To identify the school enrollment rates of children with congenital hydrocephalus who underwent ventriculoperitoneal shunt. Methods: Cross-sectional study based on the retrospective consecutive review of the medical records of children with congenital hydrocephalus who underwent ventriculoperitoneal shunt between September 2009 and September 2012 and whose school access during the 4-year postoperative outpatient follow-up was informed by the parents or guardians. Results: Ninety-two children were included in the analysis. The mean age at the time of ventriculoperitoneal shunt implantation was 9 months (± 13.42 months). The parents confirmed school enrollment during the outpatient follow-up period in 43% of the cases. The highest prevalence of school admission was observed among children who lived in the state capital (65 vs. 25%; p = 0.0001) and who did not experience postoperative complications (34 vs. 10%). Conclusions: Considering the geographic area studied, the school enrollment rate of children with ventriculoperitoneal shunt was lower than that observed in the general population, especially among those who did not live in the capital of the state of Bahia.
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