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Link between the CSF shunt and achievement in adults with spina bifida
  1. GV MCDONNELL
  1. Department of Neurology, Northern Ireland Regional Neurology Service, Ward 21, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Northern Ireland
  2. Department of Rehabilitation Medicine, Spinal Injuries Unit, Musgrave Park Hospital, Stockmans' Lane, Belfast BT9 7JB, Northern Ireland
  1. Dr G V McDonnell
  1. JP MCCANN
  1. Department of Neurology, Northern Ireland Regional Neurology Service, Ward 21, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Northern Ireland
  2. Department of Rehabilitation Medicine, Spinal Injuries Unit, Musgrave Park Hospital, Stockmans' Lane, Belfast BT9 7JB, Northern Ireland
  1. Dr G V McDonnell

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We read with interest the results of Huntet al in their long term follow up of spina bifida survivors with intraventricular shunts.1 In 48 shunt treated adult patients, they find that 27.1% (13 patients) live independently, 35.4% (17 patients) drive a car and 25% (12 patients) are in open employment. They also report that those requiring shunt revision, particularly after 2 years of age, have lower levels of achievement as defined by these three criteria. Overall, 22.9% (11 patients) are “community walkers”.

The clinic for adults …

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