Migration of the Distal Catheter of Ventriculoperitoneal Shunts in Pediatric Age Group: Case Series

World Neurosurgery
Ahmed A M EzzatEhab El Refaee

Abstract

Ventriculoperitoneal (VP) shunting is the most commonly performed procedure in the treatment of hydrocephalus. VP shunt migration can occur at different sites. The aim of the study was to present different sites of abnormal distal shunt location, pathophysiology, and the management in each situation. Between 2014 and 2017, all patients with hydrocephalus in the Department of Neurosurgery, Cairo University, were gathered prospectively. All pediatric patients below the age of 12 years with shunt migration of the distal end of the VP shunt were identified. Of 1092 patients operated on by the VP shunt between 2014 and 2017, 15 presented with shunt dysfunction because of distal shunt migration (6 anal, 3 scrotal, 1 colon, 1 peroral, 1 upper lumbar extrusion, 1 paraspinal, 1 penile, and 1 umbilical). Especially upper lumbar extrusion and paraspinal shunt location are extremely rare. All the 15 patients were treated successfully with VP shunts and prospectively followed until they presented with complications on different occasions. Peritoneal complications are among the most common causes of VP failure. We present a rare complication where the shunt migrates outside the peritoneal cavity elsewhere with ambiguous pathogenesis. Special...Continue Reading

Citations

Jan 26, 2020·British Journal of Neurosurgery·Pravesh S GadjradjJochem K Spoor
Mar 5, 2021·Annals of Medicine and Surgery·Imam HidayatMuntadhar Muhammad Isa
Mar 27, 2021·International Journal of Surgery Case Reports·Ibrahem AlhendawyBob Homapour
May 20, 2021·Case Reports in Otolaryngology·B NitinAnshul Singh
Jul 16, 2021·Translational Vision Science & Technology·Hanna FaberChristoph Kernstock

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.

Related Papers

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Olcay EserA Afsin Kundak
JSLS : Journal of the Society of Laparoendoscopic Surgeons
Jurgen KnuthDirk R Bulian
© 2022 Meta ULC. All rights reserved