Total intracranial shunt migration

Introduction. Ventriculoperitoneal shunts are often placed as treatment for refractory idiopathic intracranial hypertension. Dislodgement and migration of the distal portion of the shunt are more common in obese patients and can be difficult to detect. We report the case of a woman with two separate episodes of shunt migration into her abdominal wall.Case Presentation. We report a case of a 37-year-old female with history of obesity eventually diagnosed with idiopathic intracranial hypertension (IIH) as the cause. She failed outpatient therapy and, through neurosurgery, had a VP shunt placed for symptom control. She had subsequent development of worsened symptoms that were found to be due to shunt migration. This happened not once but twice to the same patient.Conclusion. Shunt dislodgement, migration, and subsequent failure are common in obese patients who have shunts placed for IIH. The medical provider should maintain a high index of suspicion for shunt malfunction in these patients, particularly because clinical evaluation may be challenging due to habitus.

Download Full-text

Diverse Clinical Applications of Percutaneous Lumboperitoneal Shunts

Neurosurgery ◽

10.1227/00006123-198101000-00008 ◽

1981 ◽

Vol 8 (1) ◽

pp. 39-42 ◽

Cited By ~ 36

Author(s):

H. E. James ◽

P. A. Tibbs

Keyword(s):

Cerebrospinal Fluid ◽

Wound Dehiscence ◽

Pseudotumor Cerebri ◽

Shunt Infection ◽

Communicating Hydrocephalus ◽

Lumbar Region ◽

Csf Fistula ◽

Shunt Removal ◽

Shunt Migration ◽

Shunt Obstruction

Abstract A population of 28 patients underwent the percutaneous placement of a shunt in the lumbar region with a single tube, the other end of which was placed in the peritoneal cavity by laparotomy. The clinical indications for the procedure were: communicating hydrocephalus (16 patients), pseudotumor cerebri (3 patients), cranial cerebrospinal fluid fistula (4 patients), and a bulging postcraniotomy site (2 patients). An additional 3 patients were treated by lumbar subcutaneousperitoneal shunt for a cerebrospinal fluid (CSF)-subcutaneous fistula after the removal of a leptomyelolipoma. The mean time of follow-up was 18.8 ± 7.8 months. All patients with pseudotumor cerebri and subcutaneous lumbar CSF fistula and all but 1 of the patients with a cranial CSF fistula improved without further therapy. Twelve of the 16 patients with communicating hydrocephalus improved and did not require other shunt procedures. There was one shunt infection, one wound dehiscence that led to shunt removal, and one shunt migration into the spinal canal. Shunt obstruction that led to revision of the shunt occurred on three occasions in 2 patients. The shunt functioned in only 1 of 4 infants under 4 months of age.

Download Full-text

Post V-P shunt surgical site EDH an uncommon complication: case report

Romanian Neurosurgery ◽

10.1515/romneu-2017-0043 ◽

2017 ◽

Vol 31 (2) ◽

pp. 253-256

Author(s):

Manish Garg ◽

Deepashu Sachdeva ◽

Ketan Patel ◽

Anita Jagetia ◽

A. K. Srivastava

Keyword(s):

Case Report ◽

Ct Scan ◽

Rare Complication ◽

Shunt Infection ◽

Shunt Surgery ◽

Vp Shunt ◽

Post Surgery ◽

Shunt Migration ◽

Uncommon Complication

Abstract ventriculoparitoneal shunt is well established modality of treatment for hydrocephalous. Complication of v-p shunt are also mentioned in literature like shunt infection shunt migration etc [8]. Here we are describing a rare complication of vp shunt which barely mentioned in literature. A 22 yr male admitted with complain of headache & vomiting patient was diagnosed to have tubercular meningities with hydrocephalous. Patient planned for ventriculoparietoneal shunt surgery and vp shunt was done. On 3rd post-surgery day patient develop weakness in Left side of body. Urgent ncct head done which showed EDH at surgical site. Immediate craniotomy and evacuation of hematoma was done patient improved and discharged. Thus we are discussing the importance of meticulous surgery for v-p shunt, post op ct scan and treatment.

Download Full-text

Case Report: A Rare Case of Fourth Ventricle to Spinal Subarachnoid Space Shunt Migration: Surgical Pearl and Literature Review

Frontiers in Surgery ◽

10.3389/fsurg.2021.696457 ◽

2021 ◽

Vol 8 ◽

Author(s):

Nicolas Serratrice ◽

Joe Faddoul ◽

Bilal Tarabay ◽

Sarkis Taifour ◽

Georges Naïm Abi Lahoud

Keyword(s):

Case Report ◽

Literature Review ◽

Subarachnoid Space ◽

Fourth Ventricle ◽

Review Article ◽

Catheter Migration ◽

First Case ◽

Spinal Subarachnoid Space ◽

Chiari Syndrome ◽

Shunt Migration

Background: In the event of syringomyelia communicating with the fourth ventricle, a fourth ventricle to cervical subarachnoid space shunting could be proposed.Case Report: In this review article, we describe the case of a 40-year-old woman who had a previously implanted fourth ventricle to spinal subarachnoid space shunt for the treatment of syringomyelia in the context of Chiari syndrome. The catheter migrated intradurally to the lumbosacral space, but in the absence of neurological repercussions, we decided to leave it in place.Conclusions: To the best of our knowledge, this is the first case described in the literature review of a catheter migration in the subarachnoid space from occipitocervical to lumbosacral level.

Download Full-text