Document Detail

Sub-galeal coiling of the proximal and distal components of a ventriculo-peritoneal shunt. An unusual complication and proposed mechanism.
MedLine Citation:
PMID:  11007499     Owner:  NLM     Status:  MEDLINE    
We describe the case of a child in whom proximal migration of the peritoneal catheter and extrusion of the ventricular catheter resulted in the entire ventriculo-peritoneal shunt along with the shunt chamber (Orbis Sigma II valve) lying in a sub-galeal pocket in the occipital region in a tightly coiled fashion. This coiling was very similar in appearance to that of the pre-insertion shunt in the packaging when it is supplied; hence it is postulated that the migration was secondary to retained 'memory' of the shunt tubing. This is a rare complication of ventriculo-peritoneal shunt, which has not been described before.
C J Dominguez; A Tyagi; G Hall; J Timothy; P D Chumas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  16     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2001-02-02     Completed Date:  2001-02-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  493-5     Citation Subset:  IM    
Neurosurgical Department, The General Infirmary at Leeds, UK.
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MeSH Terms
Foreign-Body Migration / diagnosis*
Hydrocephalus / surgery*
Infant, Newborn
Occipital Lobe / radiography
Postoperative Complications / diagnosis*
Tomography, X-Ray Computed
Ventriculoperitoneal Shunt / adverse effects*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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