الفهرس 
Effect of shunt operation on cervical range of motion in children with brain tumors
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Abstract
background: A tumor in the brain compresses the cerebro-spinal fluid (CSF) circulation which causes accumulation of the fluid in the brain ventricles that may lead to secondary hydrocephalus. Shunt is needed to be placed for the treatment of hydrocephalus by draining the CSF fluid. The shunt tube pathway crosses the neck under the skin to reach the heart or peritoneum.The shunt pathway itself or its malfunction may result in discomfort and fear to move the neck.objectives: This study aimed to investigate the effect of cerebral shunt operations on cervical range of motion (ROM) in children with brain tumor.methods: This study was conducted at Children{u2019}s Cancer Hospital{u2013}Egypt (57357). One study group included fifty children with brain tumor, admitted to undergo intracranial shunt operation.Their ages ranged from 6 to 16 years, 38 males and 12 females. Cervical range of motion goniometer (CROM 3) was used to assess the cervical ROM in all directions three times: Before the shunt operation, two weeks and four weeks after the operation.The repeated measure one way analysis of variation (ANOVA) was used to compare the tested variables with the alpha level 0.05. results: There were no significant clinical changes in the cervical ROM in all directions 2 and 4 weeks after the operation compared to measurements before the operation. conclusion: Shunt operation may not have an effect on the cervical ROM in children with brain tumors