Document Detail

Thoracic complications of ventriculoperitoneal shunts: case report and review of the literature.
MedLine Citation:
PMID:  8121558     Owner:  NLM     Status:  MEDLINE    
Thoracic complications of ventriculoperitoneal shunts are rare, but potentially serious. The authors report a case of a drainage of cerebrospinal fluid into the tracheobronchial tree through a peritoneal shunt catheter that migrated into the chest. After injection of contrast material into the shunt, a plain radiograph of the chest revealed a bronchogram. The symptoms resolved after a revision of the shunt. Published case reports of this and other thoracic complications of ventriculoperitoneal shunts are comprehensively reviewed. A classification of such complications into three types is proposed as follows: intrathoracic trauma during placement of a shunt, migration of the peritoneal catheter into the chest (by either a supradiaphragmatic or a transdiaphragmatic route), and pleural effusion accompanying cerebrospinal fluid ascites. The possible mechanisms and contributing factors are discussed.
E Taub; M H Lavyne
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Neurosurgery     Volume:  34     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-04-07     Completed Date:  1994-04-07     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  181-3; discussion 183-4     Citation Subset:  IM    
Division of Neurosurgery, New York Hospital-Cornell University Medical College, New York.
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MeSH Terms
Arnold-Chiari Malformation / diagnosis,  surgery*
Bronchi / surgery*
Foreign-Body Migration / diagnosis,  surgery*
Postoperative Complications / diagnosis,  surgery*
Syringomyelia / diagnosis,  surgery*
Ventriculoperitoneal Shunt / instrumentation*

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