Fractured inlet connecting tube of the flat bottom flushing device of a posterior fossa cystoperitoneal shunt

Surgical Neurology International
Abbas AmirjamshidiBabak Ghassemi

Abstract

There are well-known complications for shunt procedures. Shunt fracture or disconnection is the second most frequent cause of shunt malfunction in children. Shunt disconnection is not a common cause of shunt malfunction in the early period after installation, especially in the adulthood. Fracture of the proximal (inlet) connector of a flat-based shunt installed for decompression of a large posterior fossa arachnoid cyst in a 31-year-old female with signs of increased intracranial pressure led to recurrence of her symptoms 6 months after surgery. Awareness of the possibility of fracture site in the junction of the inlet connector of flat bottom shunt systems is warranted and can be diagnosed by three-dimensional computed tomography (3D CT) imaging without performing shunt series study.

References

Jan 1, 1992·British Journal of Neurosurgery·J F Martinez-LageJ A Esteban
Sep 3, 2010·Journal of Neurosurgery. Pediatrics·Anand I RughaniJames T Wilson
Oct 27, 2010·Surgical Neurology International·Nazanin BaradaranMostafa El Khashab
Oct 30, 2012·Journal of Neurosurgery. Pediatrics·Jonathan J StoneHoward J Silberstein

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Citations

Oct 29, 2020·AJR. American Journal of Roentgenology·Hedieh Khalatbari, Marguerite T Parisi

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