Dmitri Shastin1, Malik Zaben2, Paul Leach2. 1. Department of Neurosciences, University Hospital of Wales, Cardiff and Vale UHB, Cardiff, CF14 4XW, UK. dmitri.shastin@gmail.com. 2. Department of Neurosciences, University Hospital of Wales, Cardiff and Vale UHB, Cardiff, CF14 4XW, UK.
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.
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.