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    
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.
William E Humphries; Peter M Grossi; Linda G Liethe; Timothy M George
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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    
Pediatric Neurosurgery Service, Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
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MeSH Terms
Dandy-Walker Syndrome / complications
Equipment Failure
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

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