Ventriculoperitoneal shunt fracture

AbstractBrucellosis is a frequent zoonosis in some regions of the world and may cause various symptoms. Neurobrucellosis is a rare but serious complication of the infection. Our case report describes the course of neurobrucellosis in a patient who had received a ventriculoperitoneal shunt in his native country 13 years prior to diagnosis of brucellosis. He initially presented to us with symptoms of peritonitis, which misled us to perform abdominal surgery first. After the diagnosis of neurobrucellosis was confirmed and appropriate antibiotics were initiated, the symptoms soon disappeared. Although the ventriculoperitoneal shunt was subsequently removed, the patient did not develop a symptomatic hydrocephalus further on. This case displays the challenges in diagnosing an infection that occurred sporadically in Europe and may be missed by currently applied routine microbiological workup. Considering the political context, with increasing relocation from endemic areas to European countries, it is to be expected that the cases of brucellosis and neurobrucellosis will rise. Brucellosis should be considered and adequate investigations should be performed.

Download Full-text

Letter to the editor regarding: “Relapsing-Remitting Hepatic Pseudo-Cyst: A great simulator of malfunctioning ventriculoperitoneal shunt. Case report and proposal of a new classification”

Neurochirurgie ◽

10.1016/j.neuchi.2021.02.016 ◽

2021 ◽

Author(s):

Nikolaos Syrmos

Keyword(s):

Case Report ◽

Ventriculoperitoneal Shunt ◽

New Classification ◽

Letter To The Editor ◽

Relapsing Remitting

Download Full-text

Case report of mesenteric strangulation secondary to longstanding ventriculoperitoneal shunt catheter

Child s Nervous System ◽

10.1007/s00381-020-05019-1 ◽

2021 ◽

Author(s):

Matthew T. Grant ◽

Nicole A. Wilson ◽

Martin S. Keller ◽

Anna L. Huguenard ◽

Jennifer M. Strahle ◽

...

Keyword(s):

Case Report ◽

Ventriculoperitoneal Shunt ◽

Shunt Catheter

Download Full-text

VENTRICULOPERITONEAL SHUNT INFECTIONS

Indian Journal of Medical Microbiology ◽

10.1016/s0255-0857(21)02472-5 ◽

2006 ◽

Vol 24 (1) ◽

pp. 52-54

Author(s):

P Sarguna ◽

V Lakshmi

Keyword(s):

Ventriculoperitoneal Shunt ◽

Shunt Infections

Download Full-text

Ultrasound-Guided Insertion of the Ventricular Catheter in Ventriculoperitoneal Shunt Surgery: Evaluation of Accuracy and Feasibility in a Prospective Cohort

Journal of Neurological Surgery Part A Central European Neurosurgery ◽

10.1055/s-0040-1714388 ◽

2020 ◽

Vol 82 (01) ◽

pp. 009-017

Author(s):

Severina Leu ◽

Maria Kamenova ◽

Luigi Mariani ◽

Jehuda Soleman

Keyword(s):

Ventriculoperitoneal Shunt ◽

Perioperative Complications ◽

Univariate Analysis ◽

Ventricular Catheter ◽

Neurosurgical Procedures ◽

Anatomical Landmarks ◽

Ultrasound Guided ◽

The Us ◽

Evans Index ◽

Shunt Survival

Abstract Objective Ventriculoperitoneal shunt (VPS) placement is one of the most frequent neurosurgical procedures. The position of the proximal catheter is important for shunt survival. Shunt placement is done either without image guidance (“freehand”) according to anatomical landmarks or by use of various image-guided techniques. Studies evaluating ultrasound-guided (US-G) VPS placement are sparse. We evaluate the accuracy and feasibility of US-G VPS placement, and compare it to freehand VPS placement. Methods We prospectively collected data of consecutive patients undergoing US-G VPS placement. Thereafter, the US cohort was compared with a cohort of patients in whom VPS was inserted using the freehand technique (freehand cohort). Primary outcome was accuracy of catheter positioning, and secondary outcomes were postoperative improvement in Evans' index (EI), rates of shunt dysfunction and revision surgery, perioperative complications, as well as operation, and anesthesia times. Results We included 15 patients undergoing US-G VPS insertion. Rates of optimally placed shunts were higher in the US cohort (67 vs. 49%, p = 0.28), whereas there were no malpositioned VPS (0%) in the US cohort, compared with 10 (5.8%) in the freehand cohort (p = 0.422). None of the factors in the univariate analysis showed significant association with nonoptimal (NOC) VPS placement in the US cohort. The mean EI improvement was significantly better in the US cohort than in the freehand cohort (0.043 vs. 0.014, p = 0.035). Conclusion Based on our preliminary results, US-G VPS placement seems to be feasible, safe, and increases the rate of optimally placed catheters.

Download Full-text

Abdominal complications in patients with a ventriculoperitoneal shunt: proposal for management recommendations from a single pediatric tertiary center

Child s Nervous System ◽

10.1007/s00381-021-05121-y ◽

2021 ◽

Author(s):

Yamila Nadia Itati Basilotta Márquez ◽

Juan Pablo Mengide ◽

Juan Manuel Liñares ◽

Amparo Saenz ◽

Romina Argañaraz ◽

...

Keyword(s):

Ventriculoperitoneal Shunt ◽

Abdominal Complications ◽

Tertiary Center ◽

Management Recommendations

Download Full-text

An Indigenous Method of Securing Ventriculoperitoneal Shunt Tube in Peritoneal Cavity

Indian Journal of Neurosurgery ◽

10.1055/s-0041-1722826 ◽

2021 ◽

Author(s):

Samir Kumar Kalra ◽

Krishna Shah ◽

Sneyhil Tyagi ◽

Suviraj John ◽

Rajesh Acharya

Keyword(s):

Ventriculoperitoneal Shunt ◽

Operation Time ◽

Complication Rates ◽

Effective Technique ◽

Common Procedure ◽

Shunt System ◽

Shunt Tube ◽

Csf Diversion ◽

Median Operation Time

Abstract Introduction Ventriculoperitoneal shunt (VPS) is the most common procedure used for cerebrospinal fluid (CSF) diversion in hydrocephalus. Over the years, many technical, procedural, and instrument-related advancements have taken place which have reduced the associated complication rates. Shunt block is a very common complication irrespective of the shunt system used. The abdominal end of the shunt tube gets blocked usually due to plugging of omentum onto the shunt catheter. We describe a technique of catheter fixation and placement under vision coupled with omentopexy done laparoscopically to prevent this complication. Materials and Methods This technique was used in 23 patients (11 female, 12 male; range 16–73 years) afflicted with hydrocephalus from June 2016 and December 2019 after obtaining an informed consent, and the outcomes were noted in terms of shunt patency, complications, if any, and the need for revision. Results The median operation time was 90 minutes (range 35–160 minutes). All shunt catheters were still functional after a mean follow-up of 16.5 months (range 1–34 months) and none required revision. Conclusion Laparoscopic placement of shunt tube along with omental folding is a safe and effective technique for salvaging the abdominal end of VPS and may be helpful in reducing shunt blockage.

Download Full-text