SlideShare a Scribd company logo
1 of 30
Hydrocephalus & Shunts Seanā€™s Story
What is hydrocephalous? ,[object Object],[object Object],[object Object]
What is CSF? ,[object Object],[object Object],[object Object],[object Object]
Why does hydrocephalous occur? ,[object Object],[object Object]
Congenital Hydrocephalus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acquired Hydrocephalus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The cause of Seanā€™s hydrocephalus ,[object Object],Kaitlyn & Sean
The cause of Seanā€™s hydrocephalus ,[object Object],[object Object],[object Object],[object Object]
What is a shunt? ,[object Object],[object Object],[object Object],[object Object]
How a shunt works ,[object Object],[object Object],[object Object],[object Object]
Types of shunts ,[object Object],[object Object],[object Object],[object Object]
The 4 parts of a shunt ,[object Object],[object Object]
The 4 parts of a shunt ,[object Object],[object Object],[object Object],[object Object]
Shunt Surgery ,[object Object],[object Object]
Shunt Surgery ,[object Object],[object Object]
Babyā€™s 1 st  Shunt ,[object Object],[object Object],[object Object],[object Object]
Reservoir ,[object Object],[object Object],[object Object],[object Object],[object Object],ANCHOR to suture in place RESERVOIR : Needle inserted here to drain VENTRICULAR CATHETER
VP Shunt ,[object Object],[object Object]
Seanā€™s Shunt Line END HERE with excess coiling for growth RESERVOIR
Outcomes of shunt surgery ,[object Object],[object Object]
After effects of shunt surgery ,[object Object],[object Object]
A Lifetime Commitment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Signs that a shunt needs replacing: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shunt Revision and Relocation #1 February 2009
The difference a week can makeā€¦ ,[object Object],[object Object]
Signs of a problem with Seanā€™s shunt ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgery #1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EVD: External Ventricular Drain ,[object Object],[object Object]
Surgery #2 ,[object Object],[object Object],[object Object]
For more informationā€¦ ,[object Object]

More Related Content

What's hot

intracranial pressure monitoring
intracranial pressure monitoring intracranial pressure monitoring
intracranial pressure monitoring SHAMEEJ MUHAMED KV
Ā 
Cardiac Trauma Lecture
Cardiac Trauma LectureCardiac Trauma Lecture
Cardiac Trauma LectureJeremy Webb
Ā 
Basic modes of mechanical ventilation
Basic modes of mechanical ventilationBasic modes of mechanical ventilation
Basic modes of mechanical ventilationLokesh Tiwari
Ā 
Acute Coronary Syndrome (NSTEMI)
Acute Coronary Syndrome (NSTEMI) Acute Coronary Syndrome (NSTEMI)
Acute Coronary Syndrome (NSTEMI) Muhammad Asim Rana
Ā 
Approach to traumatic brain injury
Approach to traumatic brain injuryApproach to traumatic brain injury
Approach to traumatic brain injuryEM OMSB
Ā 
Fat embolism syndrome
Fat embolism syndromeFat embolism syndrome
Fat embolism syndromeAftab Hussain
Ā 
Non invasive ventilation (niv)
Non invasive ventilation (niv)Non invasive ventilation (niv)
Non invasive ventilation (niv)Khairunnisa Azman
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalusairwave12
Ā 
Signs of aortic regurgitation
Signs of aortic regurgitationSigns of aortic regurgitation
Signs of aortic regurgitationKurian Joseph
Ā 
Basic Of Mechanical Ventilation
Basic Of Mechanical VentilationBasic Of Mechanical Ventilation
Basic Of Mechanical VentilationDang Thanh Tuan
Ā 
Resuscitative Thoracotomy
Resuscitative ThoracotomyResuscitative Thoracotomy
Resuscitative ThoracotomySCGH ED CME
Ā 
step by step approach to arterial blood gas analysis
step by step approach to arterial blood gas analysisstep by step approach to arterial blood gas analysis
step by step approach to arterial blood gas analysisikramdr01
Ā 

What's hot (20)

Brain death
Brain deathBrain death
Brain death
Ā 
intracranial pressure monitoring
intracranial pressure monitoring intracranial pressure monitoring
intracranial pressure monitoring
Ā 
Cardiac Trauma Lecture
Cardiac Trauma LectureCardiac Trauma Lecture
Cardiac Trauma Lecture
Ā 
dvt prophylaxis
dvt prophylaxisdvt prophylaxis
dvt prophylaxis
Ā 
Basic modes of mechanical ventilation
Basic modes of mechanical ventilationBasic modes of mechanical ventilation
Basic modes of mechanical ventilation
Ā 
Acute Coronary Syndrome (NSTEMI)
Acute Coronary Syndrome (NSTEMI) Acute Coronary Syndrome (NSTEMI)
Acute Coronary Syndrome (NSTEMI)
Ā 
ECG Basics
ECG BasicsECG Basics
ECG Basics
Ā 
Raised icp
Raised icpRaised icp
Raised icp
Ā 
Approach to traumatic brain injury
Approach to traumatic brain injuryApproach to traumatic brain injury
Approach to traumatic brain injury
Ā 
Trauma scoring
Trauma scoringTrauma scoring
Trauma scoring
Ā 
Fat embolism syndrome
Fat embolism syndromeFat embolism syndrome
Fat embolism syndrome
Ā 
Non invasive ventilation (niv)
Non invasive ventilation (niv)Non invasive ventilation (niv)
Non invasive ventilation (niv)
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
Ā 
Signs of aortic regurgitation
Signs of aortic regurgitationSigns of aortic regurgitation
Signs of aortic regurgitation
Ā 
Basic Of Mechanical Ventilation
Basic Of Mechanical VentilationBasic Of Mechanical Ventilation
Basic Of Mechanical Ventilation
Ā 
Wpw syndrome
Wpw syndromeWpw syndrome
Wpw syndrome
Ā 
Cyanotic spell.
Cyanotic spell.Cyanotic spell.
Cyanotic spell.
Ā 
Resuscitative Thoracotomy
Resuscitative ThoracotomyResuscitative Thoracotomy
Resuscitative Thoracotomy
Ā 
step by step approach to arterial blood gas analysis
step by step approach to arterial blood gas analysisstep by step approach to arterial blood gas analysis
step by step approach to arterial blood gas analysis
Ā 
Chf
ChfChf
Chf
Ā 

Similar to Hydrocephalus and Shunts: Sean's Story

61356687 vp-shunt-case-report
61356687 vp-shunt-case-report61356687 vp-shunt-case-report
61356687 vp-shunt-case-reporthomeworkping4
Ā 
Effective treatment for hydrocephalus in Mindheal Homeopathy clinic ,Chembur...
Effective treatment for hydrocephalus  in Mindheal Homeopathy clinic ,Chembur...Effective treatment for hydrocephalus  in Mindheal Homeopathy clinic ,Chembur...
Effective treatment for hydrocephalus in Mindheal Homeopathy clinic ,Chembur...Shewta shetty
Ā 
Effective treatment for hydrocephalus in Mindheal Homeopathy clinic ,Chembur...
Effective treatment for hydrocephalus  in Mindheal Homeopathy clinic ,Chembur...Effective treatment for hydrocephalus  in Mindheal Homeopathy clinic ,Chembur...
Effective treatment for hydrocephalus in Mindheal Homeopathy clinic ,Chembur...Shewta shetty
Ā 
Hydrocephalus : Its Avaliable Treatments
Hydrocephalus : Its Avaliable TreatmentsHydrocephalus : Its Avaliable Treatments
Hydrocephalus : Its Avaliable TreatmentsCNS Neurosurgery
Ā 
Hydrocephalus (Clinical Anatomy of CSF) By Muhammad Arslan Yasin
Hydrocephalus (Clinical Anatomy of CSF) By Muhammad Arslan YasinHydrocephalus (Clinical Anatomy of CSF) By Muhammad Arslan Yasin
Hydrocephalus (Clinical Anatomy of CSF) By Muhammad Arslan YasinMuhammad Arslan Yasin Sukhera
Ā 
Hydrocephalus.pptx
Hydrocephalus.pptxHydrocephalus.pptx
Hydrocephalus.pptxPradeep Pande
Ā 
2_2016_12_06!10_42_33_AM.ppt
2_2016_12_06!10_42_33_AM.ppt2_2016_12_06!10_42_33_AM.ppt
2_2016_12_06!10_42_33_AM.pptPatrickMukoso
Ā 
hydocepalus.ppt power point prensation ppt
hydocepalus.ppt power point prensation ppthydocepalus.ppt power point prensation ppt
hydocepalus.ppt power point prensation pptKelfalaHassanDawoh
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
HydrocephalusYaqub Yunusa
Ā 
CSF SEMINAR.pptx
CSF SEMINAR.pptxCSF SEMINAR.pptx
CSF SEMINAR.pptxSunilMulgund1
Ā 
Review of Hydrocephalus
Review of HydrocephalusReview of Hydrocephalus
Review of HydrocephalusLincy Samson
Ā 

Similar to Hydrocephalus and Shunts: Sean's Story (20)

61356687 vp-shunt-case-report
61356687 vp-shunt-case-report61356687 vp-shunt-case-report
61356687 vp-shunt-case-report
Ā 
Hydrocephalus english
Hydrocephalus   englishHydrocephalus   english
Hydrocephalus english
Ā 
Effective treatment for hydrocephalus in Mindheal Homeopathy clinic ,Chembur...
Effective treatment for hydrocephalus  in Mindheal Homeopathy clinic ,Chembur...Effective treatment for hydrocephalus  in Mindheal Homeopathy clinic ,Chembur...
Effective treatment for hydrocephalus in Mindheal Homeopathy clinic ,Chembur...
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
Ā 
hydrocephalus
hydrocephalushydrocephalus
hydrocephalus
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
Ā 
Effective treatment for hydrocephalus in Mindheal Homeopathy clinic ,Chembur...
Effective treatment for hydrocephalus  in Mindheal Homeopathy clinic ,Chembur...Effective treatment for hydrocephalus  in Mindheal Homeopathy clinic ,Chembur...
Effective treatment for hydrocephalus in Mindheal Homeopathy clinic ,Chembur...
Ā 
Hydrocephalus : Its Avaliable Treatments
Hydrocephalus : Its Avaliable TreatmentsHydrocephalus : Its Avaliable Treatments
Hydrocephalus : Its Avaliable Treatments
Ā 
HYDROCEPHALUS
HYDROCEPHALUSHYDROCEPHALUS
HYDROCEPHALUS
Ā 
Hydrocephalus (Clinical Anatomy of CSF) By Muhammad Arslan Yasin
Hydrocephalus (Clinical Anatomy of CSF) By Muhammad Arslan YasinHydrocephalus (Clinical Anatomy of CSF) By Muhammad Arslan Yasin
Hydrocephalus (Clinical Anatomy of CSF) By Muhammad Arslan Yasin
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
Ā 
Hydrocephalus.pptx
Hydrocephalus.pptxHydrocephalus.pptx
Hydrocephalus.pptx
Ā 
The cerebrospinal fluid
The cerebrospinal fluidThe cerebrospinal fluid
The cerebrospinal fluid
Ā 
2_2016_12_06!10_42_33_AM.ppt
2_2016_12_06!10_42_33_AM.ppt2_2016_12_06!10_42_33_AM.ppt
2_2016_12_06!10_42_33_AM.ppt
Ā 
hydocepalus.ppt power point prensation ppt
hydocepalus.ppt power point prensation ppthydocepalus.ppt power point prensation ppt
hydocepalus.ppt power point prensation ppt
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
Ā 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
Ā 
CSF SEMINAR.pptx
CSF SEMINAR.pptxCSF SEMINAR.pptx
CSF SEMINAR.pptx
Ā 
Review of Hydrocephalus
Review of HydrocephalusReview of Hydrocephalus
Review of Hydrocephalus
Ā 

Recently uploaded

VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
Ā 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
Ā 
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore EscortsVIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escortsaditipandeya
Ā 
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safenarwatsonia7
Ā 
Book Paid Powai Call Girls Mumbai š– ‹ 9930245274 š– ‹Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai š– ‹ 9930245274 š– ‹Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai š– ‹ 9930245274 š– ‹Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai š– ‹ 9930245274 š– ‹Low Budget Full Independent H...Call Girls in Nagpur High Profile
Ā 
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service PatnaLow Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patnamakika9823
Ā 
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoybabeytanya
Ā 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
Ā 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
Ā 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Ā 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya
Ā 
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...Taniya Sharma
Ā 
High Profile Call Girls Coimbatore Saanviā˜Žļø 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanviā˜Žļø  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanviā˜Žļø  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanviā˜Žļø 8250192130 Independent Escort Se...narwatsonia7
Ā 
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on DeliveryCall Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Deliverynehamumbai
Ā 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Ā 
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoybabeytanya
Ā 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
Ā 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
Ā 

Recently uploaded (20)

VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
Ā 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Ā 
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore EscortsVIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
Ā 
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli šŸ“ž 9907093804 High Profile Service 100% Safe
Ā 
Book Paid Powai Call Girls Mumbai š– ‹ 9930245274 š– ‹Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai š– ‹ 9930245274 š– ‹Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai š– ‹ 9930245274 š– ‹Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai š– ‹ 9930245274 š– ‹Low Budget Full Independent H...
Ā 
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service PatnaLow Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Ā 
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Ā 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Ā 
Russian Call Girls in Delhi Tanvi āž”ļø 9711199012 šŸ’‹šŸ“ž Independent Escort Service...
Russian Call Girls in Delhi Tanvi āž”ļø 9711199012 šŸ’‹šŸ“ž Independent Escort Service...Russian Call Girls in Delhi Tanvi āž”ļø 9711199012 šŸ’‹šŸ“ž Independent Escort Service...
Russian Call Girls in Delhi Tanvi āž”ļø 9711199012 šŸ’‹šŸ“ž Independent Escort Service...
Ā 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Ā 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Ā 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Ā 
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
šŸ’ŽVVIP Kolkata Call Girls ParganasšŸ©±7001035870šŸ©±Independent Girl ( Ac Rooms Avai...
Ā 
High Profile Call Girls Coimbatore Saanviā˜Žļø 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanviā˜Žļø  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanviā˜Žļø  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanviā˜Žļø 8250192130 Independent Escort Se...
Ā 
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on DeliveryCall Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Call Girls Colaba Mumbai ā¤ļø 9920874524 šŸ‘ˆ Cash on Delivery
Ā 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Ā 
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Ā 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
Ā 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Ā 
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530Ā°56974 Delhi NCR
Ā 

Hydrocephalus and Shunts: Sean's Story