Blocked ventriculoperitoneal shunt causing raised intracranial pressure diagnosed by prominent sinus pericranii

Abstract Eleven patients with raised intracranial pressure caused by cerebral cryptococcosis developed complications requiring neurosurgical operations. Two patients were fully conscious on admission, and 9 had impaired consciousness, four of whom were comatose. Seven patients were found to have hydrocephalus only. Two patients had cerebral edema initially, and 2 had cystic lesions. One of the latter developed subdural effusion. All patients eventually developed progressive hydrocephalus requiring placement of a ventriculoperitoneal shunt. Four patients were initially treated by external ventricular drainage. When external ventricular drainage was used initially, there were no associated complications; however, there was a high incidence of complications (4 of 7 patients) when a ventriculoperitoneal shunt was placed as the initial treatment. Of the 11 patients, 10 (91%) survived; of these 9 (82%) made an excellent recovery and 7 (64%) returned to their original work. The patient who died had been receiving steroid therapy for hypopituitarism.

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Ventriculoperitoneal Shunt Disconnection, Shunt Migration, and Silent Bowel Perforation in a 10-Year-Old Boy

Journal of Neurosciences in Rural Practice ◽

10.4103/jnrp.jnrp_329_18 ◽

2019 ◽

Vol 10 (02) ◽

pp. 342-345

Author(s):

Rajendra Kumar Ghritlaharey

Keyword(s):

Intracranial Pressure ◽

Ventriculoperitoneal Shunt ◽

Rare Case ◽

Bowel Perforation ◽

Postoperative Recovery ◽

Raised Intracranial Pressure ◽

Peritoneal Catheter ◽

Tubercular Meningitis ◽

Fecal Matter ◽

Shunt Migration

ABSTRACTA 10-year-old boy was admitted with chest wall infection around the implanted ventriculoperitoneal shunt (VPS) catheter of 5 days. He had received a right-sided, medium pressure, whole-length VPS for hydrocephalus, following tubercular meningitis at the age of 3 years. Seven years, 9 months following VPS implantation, he was admitted with shunt tract infection at the chest area for 5 days. He had neither fever nor features of meningitis, raised intracranial pressure, or peritonitis. His clinical examination and radiological investigations revealed that the VPS catheter was disconnected at the cranial site, and it was migrated downward up to the upper chest. He was managed well with the removal of the entire VPS catheter. The removed peritoneal catheter along with the shunt chamber was loaded with fecal matter and was presumed that the peritoneal catheter was within the colon. His postoperative recovery was excellent. This is a rare case of VPS catheter disconnection, shunt migration, and silent bowel perforation by peritoneal catheter, and all the above-mentioned complications were detected in a child at the same time and were managed well with the removal of the entire VPS catheter.

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Ossified Occipital Pseudomeningocele following Ventriculoperitoneal Shunt Malfunction

Journal of Neurosciences in Rural Practice ◽

10.1055/s-0039-1695698 ◽

2019 ◽

Vol 10 (03) ◽

pp. 542-544

Author(s):

Anusha S. Bhatt ◽

Ajit M. Mishra ◽

Radhika Mhatre ◽

Bevinahalli N. Nandeesh

Keyword(s):

Computed Tomography ◽

Intracranial Pressure ◽

Treatment Option ◽

Ventriculoperitoneal Shunt ◽

Aqueductal Stenosis ◽

Shunt Malfunction ◽

Rare Entity ◽

Raised Intracranial Pressure ◽

Rare Occurrence ◽

Vp Shunt

AbstractOssification of pseudomeningocele is a rare occurrence and is one of the rare complications of ventriculoperitoneal (VP) shunt malfunction. We report a case of 12-year-old boy who came with features of raised intracranial pressure following shunt malfunction which was placed as a treatment to the aqueductal stenosis. Computed tomography showed ventriculomegaly and hypodense collection in the occiput with posterior rim of calcification. The findings were confirmed on histopathology. Although ossified pseudomeningocele is a rare entity following VP shunt placement, it should be suspected if patients present with aggravated symptoms, especially if there is shunt malfunction as the treatment option varies with the presence or absence of resultant symptoms and ossification.

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Risk factors for developing recurrent raised intracranial pressure post cranial vault remodelling in nonsyndromic craniosynostosis in children: a systematic review protocol

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/jbisrir-2013-1093 ◽

2013 ◽

Vol 11 (11) ◽

pp. 54-63

Author(s):

Xenia Doorenbosch ◽

Jared Campbell ◽

Kandiah Umapathysivam

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Intracranial Pressure ◽

Cranial Vault ◽

Raised Intracranial Pressure ◽

Systematic Review Protocol ◽

Review Protocol

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Refractory hypotension in post-operative setting with raised intracranial pressure: insula at play?

British Journal of Neurosurgery ◽

10.1080/02688697.2021.1888871 ◽

2021 ◽

pp. 1-4

Author(s):

Manish Sharma ◽

Anil Kumar ◽

Deependra Kumar Sinha ◽

Rajnish Talwar

Keyword(s):

Intracranial Pressure ◽

Raised Intracranial Pressure ◽

Refractory Hypotension

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Duret Hemorrhage after Extradural Hematoma Evacuation–A Rare Entity

Indian Journal of Neurotrauma ◽

10.1055/s-0041-1725213 ◽

2021 ◽

Author(s):

Lamkordor Tyngkan ◽

Nazia Mahfouz ◽

Sobia Bilal ◽

Bazla Fatima ◽

Nayil Malik

Keyword(s):

Intracranial Pressure ◽

Epidural Hematoma ◽

Rare Complication ◽

Rare Entity ◽

Raised Intracranial Pressure ◽

Extradural Hematoma ◽

Transtentorial Herniation ◽

Hematoma Evacuation ◽

Brainstem Injury ◽

Acute Epidural Hematoma

AbstractTraumatic brainstem injury can be classified as primary or secondary. Secondary brainstem hemorrhage that evolves from raised intracranial pressure (ICP) and transtentorial herniation is referred to as Duret hemorrhage. We report a 25-year-old male who underwent emergency craniotomy, with evacuation of acute epidural hematoma, and postoperatively developed fatal Duret hemorrhage. Duret hemorrhage after acute epidural hematoma (EDH) evacuation is a very rare complication and the outcome is grave in most of the cases.

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