Document Detail


Ventriculoperitoneal shunt failure causing myelopathy in a patient with bilateral jugular vein occlusion. Case report.
MedLine Citation:
PMID:  17233293     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors describe the case of a 36-year-old woman with bilateral internal jugular vein occlusion, hydrocephalus, and Dandy-Walker variant who presented with myelopathy that was ultimately attributed to ventriculoperitoneal (VP) shunt failure. Computed tomography (CT) angiography of the head and neck revealed epidural venous engorgement within the cervical spine, greater that 50% narrowing of the C2-5 spinal canal, and compression of the cervical spinal cord. After successful shunt revision, postoperative CT angiography revealed decreased venous engorgement as well as decompression of the cervical spinal cord, and the patient's myelopathy improved. This case represents a fascinating clinical presentation of VP shunt failure, highlighting the physiological importance of the external jugular pathways involved in cerebral venous drainage.
Authors:
William E Humphries; Peter M Grossi; Linda G Liethe; Timothy M George
Related Documents :
711393 - A simple method to measure mesenteric arteriovenous shunt flow during arteriography.
21769263 - Uncorrected tetralogy of fallot in a 25-year old nigerian african.
19449063 - Fatal pulmonary embolus after uterine artery fibroid embolisation.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Spine     Volume:  6     ISSN:  1547-5654     ISO Abbreviation:  -     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-19     Completed Date:  2007-02-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101223545     Medline TA:  J Neurosurg Spine     Country:  United States    
Other Details:
Languages:  eng     Pagination:  60-3     Citation Subset:  IM    
Affiliation:
Pediatric Neurosurgery Service, Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Dandy-Walker Syndrome / complications
Equipment Failure
Female
Humans
Hydrocephalus / complications,  diagnosis,  surgery
Jugular Veins / pathology,  physiopathology*,  radiography
Magnetic Resonance Imaging
Spinal Cord Compression / etiology,  pathology,  radiography
Spinal Cord Diseases / etiology*,  pathology,  radiography
Tomography, X-Ray Computed
Venous Thrombosis / diagnosis,  etiology*,  physiopathology*
Ventriculoperitoneal Shunt / instrumentation*

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


Previous Document:  An extramedullary plasmacytoma originating from the thoracic spinal cord: magnetic resonance imaging...
Next Document:  Upper cervical myelopathy due to arachnoiditis and spinal cord tethering from adjacent C-2 osteomyel...