Shunt overdrainage syndrome: review of the literature

  • Bienvenido Ros
  • Sara Iglesias
  • Álvaro Martín
  • Antonio Carrasco
  • Guillermo Ibáñez
  • Miguel A. Arráez


Shunt overdrainage in patients with hydrocephalus still represents a challenge for neurosurgeons, in part due to the lack of agreement or uniformity concerning the entity. Important problems exist relating to the real incidence of the entity, its definition, classification, and the pathophysiological theories behind the various treatment strategies proposed. Recent reports have suggested that the evidence about overdrainage and its consequences is not so robust as presumed. Consequently, the topic requires more detailed examination. In this review, we comment on all the main facets related with shunt overdrainage.


Hydrocephalus CSF shunts Headaches Slit ventricle syndrome 


Compliance with ethical standards

This article does not contain any studies with human participants or animals performed by any of the authors.

The content of the manuscript has not been submitted to more than one journal for simultaneous consideration and has not been previously published elsewhere.

For this type of study formal consent is not required.

Conflict of interest

The authors declare that they have no conflict of interest.


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© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Pediatric Neurosurgery Section, Department of NeurosurgeryRegional University HospitalMalagaSpain
  2. 2.Department of NeurosurgeryRegional University HospitalMalagaSpain

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