Shunt malfunction in patients with hydrocephalus: complications revisited.

作者: Ajay Hegde , Rajesh Parameshwaran Nair , Sibhi Ganapathy , Lakshman I Kongwad

DOI: 10.1136/BCR-2015-213619

关键词: NeurosurgeryCatheterSurgeryMedicineComplicationHydrocephalusShunt malfunctionNeuronavigationIn patientShunt (medical)

摘要: The ventriculoperitoneal shunt has been the mainstay for definitive treatment of hydrocephalus since time immemorial. As such, several case reports describing complications this procedure have documented in literature over past few decades. spectrum ranges from ventricular catheter dislodgement to abdominal end perforating stomach and causing intussusception; illustrations depicted possible aftermath blind procedure. After advent neuronavigation planning procedures on CT scans, complication rates significantly reduced. Shunt malfunction, secondary migration end, remains as one most common following shunting.1 Large bowel perforation is a rare with an incidence 0.1–0.7%.2 In instances, there cases herniation peritoneum along distal through lax posterior rectus sheath.3 unprecedented we describe, first child other elderly woman, mandate separate mention literature. We present our institutional experience, dilemma, surgical management outcomes both patients. Case 1: A 1½-year-old boy presented intermittent appearance tube …

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