Extracranial complications of cerebrospinal fluid shunt function in childhood hydrocephalus

Murtagh, FR; Quencer, R M; Ca, Poole

doi:10.2214/ajr.135.4.763

Cited by 67 publications

(35 citation statements)

References 19 publications

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“…Mechanical failure after shunt insertion was found in 10%-70% of cases in different studies (1,12,19,23,29) and in our study mechanical failure was found in 46.9% of the shunt procedures. This finding is parallel to some series and not other series.…”

Section: Discussionsupporting

confidence: 62%

Laparoscopic revision of the distally obstructed ventriculoperitoneal shunt

Abouhashem

Taha²,

Ismail³

et al. 2012

Turkish Neurosurgery

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AIm: Evaluation of the laparoscopic assisted revision of the ventriculoperitoneal shunt as an alternative technique to the traditional laparotomy. mAterIAl and methOds: Out of 1181 elective neurosurgical procedures have been done from January 2009 to December 2010. There are 98 (8.2%) ventriculoperitoneal shunt procedures. New shunt insertion was performed 41 times (41.9%) and shunt revision performed 57 times (58.1%). Shunt-related infection was detected in 11 cases (11.22%) while mechanical failure was found in 46 cases (46.9%), proximal obstruction was diagnosed in 26 cases (26.5 %) while 20 patients (20.4%) suffered from distal obstruction. Out of the 20 patients with distal obstruction, 12 patients were treated with laparoscopic assisted revision of the peritoneal end.results: Intra operative finding revealed peritoneal adhesion in 83.3% of cases and cerebrospinal fluid pseudo cyst in 16.6% while extra peritoneal tube was found in one case. Intraoperative management included adhesiolysis in 10 patient, evacuation and marsupialization of the cyst in two cases in addition to tube repositioning in all cases. There was no procedure-related complications.COnClusIOn: Laparoscopic assisted revision of the peritoneal catheter is an alternative technique to traditional laparotomy in the revision of ventriculoperitoneal shunt.

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Section: Discussionsupporting

confidence: 62%

Laparoscopic revision of the distally obstructed ventriculoperitoneal shunt

Abouhashem

Taha²,

Ismail³

et al. 2012

Turkish Neurosurgery

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“…The complication rates significantly differ between different procedures. The common sites for distal tubing includes the atrial, plevral, ureteral and peritoneal shunting, where ventriculoatrial shunting with the highest complication rates (79% in a series by Murtagh et al) (13). On the other hand the complication rates of ventriculoperitoneal systems are estimated as 47%.…”

Section: Case Reportmentioning

confidence: 99%

“…The first was reported by Murtagh et al in 1980 and was describing an occasion where the shunt tubing was found to be knotted tightly around the bowel (13). The second was reported in 1998 by Starreveled et al and was describing a 1-weekold female infant suffering from intestinal obstruction due to knotting of peritoneal catheter (15).…”

Section: Borcek Ao Et Al: Ventriculoperitoneal Shunt Complicationmentioning

confidence: 99%

An unusual ventriculoperitoneal shunt complication: spontaneous knot formation

Börcek

Çivi²,

Goleń³

et al. 2010

Turkish Neurosurgery

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This article aims to describe an extraordinary complication of a ventriculoperitoneal shunt system that formed a knot spontaneously and lead to a shunt malfunction. A 3-year-old male patient was operated due to posttraumatic hydrocephalus. After an uneventful follow-up period of 34 months, he presented with shunt malfunction. During the shunt revision surgery, the peritoneal catheter was found to form a loop over itself. There are various complications of ventriculoperitoneal shunt systems. Migration to body cavities is among the most interesting ones. This is the fifth report describing this rare complication. Hydrocephalic patients should be closely followed up after shunt surgery for various extraordinary complications. KeywOrds: V/P Shunt, Shunt Complication, Shunt Malfunction ÖZBu makale, kendi üzerine katlanarak bir düğüm oluşturup şant malfonksiyonuna neden olan ventriküloperitoneal şant sisteminin yol açtığı bu sıradışı bir komplikasyonu incelemektedir. Travma sonrasında gelişen hidrosefali nedeni ile opere edilen 3 yaşındaki erkek hasta 34 aylık sorunsuz bir takip süresi ardından şant malfonksiyonu ile başvurdu. Şant revizyonu sırasında peritoneal kateterin kendi üzerine katlanarak bir düğüm oluşturduğu gözlendi. Ventriküloperitoneal şant sistemlerine ait birçok farklı komplikasyon bildirilmiştir. Vücut boşluklarına migrasyon bu komplikasyonlardan en ilginç olanlar arasındadır. Bu makalede, sunulan vaka literatürdeki beşinci vakadır. Hidrosefalili hastalar şant cerrahisi sonrasında bu komplikasyonlar için yakın takipte tutulmalıdırlar.

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“…Ever since its introduction, the usage of cerebrospinal fluid shunt hardware has led to complications, so much so that in the early period it was abandond [12][13][14][15][16][17]19] with the development of more user-friendly hardware system. Nowadays shunt systems regained their place in favor, nevertheless, complications, though fewer, persist.…”

Section: Discussionmentioning

confidence: 99%

“…Thecoperitoneal shunt is a technique of CSF diversion from the lumber peritoneal sac to the peritoneal cavity, although generally a safe procedure, potential complications might happen such: bleeding, nerve irritation, paralysis, infection, post spinal headache, pneumocephalus, acquired Chiari malformation, shunt migration [11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Thecoperitoneal Shunt ‘Cast Away’

Rami¹

2016

JNSK

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Mechanical shunt complication accounts for more than half of all shunt failures. Ever since its introduction, the use of cerebrospinal shunting systems has led to complications. Nevertheless, complication, though fewer nowadays, persist. Such complications: mechanical failure, infections and migration. We are reporting a very rare case of thecoperitoneal shunt migration not only towards peritoneal cavity also towards third ventricle.

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Extracranial complications of cerebrospinal fluid shunt function in childhood hydrocephalus

Cited by 67 publications

References 19 publications

Laparoscopic revision of the distally obstructed ventriculoperitoneal shunt

Laparoscopic revision of the distally obstructed ventriculoperitoneal shunt

An unusual ventriculoperitoneal shunt complication: spontaneous knot formation

Thecoperitoneal Shunt ‘Cast Away’

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