Complete intracranial migration of ventriculoperitoneal shunt: a common procedure with a rare complication

Bibliographic Details
Title: Complete intracranial migration of ventriculoperitoneal shunt: a common procedure with a rare complication
Authors: Hammad Mehtab, Ahtesham Khizar, Soha Zahid, Sameer Saleem Tebha, Maha Irfan
Source: Egyptian Journal of Neurosurgery, Vol 36, Iss 1, Pp 1-4 (2021)
Publisher Information: SpringerOpen, 2021.
Publication Year: 2021
Collection: LCC:Surgery
LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: Intracranial migration, Ventriculoperitoneal shunt, Shunt complication, Surgery, RD1-811, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: Abstract Background Ventriculoperitoneal shunt insertion is widely used in the treatment of different kinds of hydrocephalus. Shunt failure is one of the most common complications; however complete intracranial shunt migration is rarely reported. Case presentation We report a case of an eleven-month-old girl with complete intracranial migration of Ventriculoperitoneal Shunt (Chhabra Shunt). We removed this intracranially migrated shunt with the help of an endoscope (GAAB) and inserted a new Ventriculoperitoneal Shunt (Medtronic Shunt) on the opposite side. She had a good clinical outcome. Conclusion Complete intracranial shunt migration is an extremely rare complication. It is likely due to raised intra-peritoneal pressure, strong head movements, and inadequate shunt fixation. The best possible approach to prevent shunt migration would be better patient handling along with appropriate operative techniques.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2520-8225
Relation: https://doaj.org/toc/2520-8225
DOI: 10.1186/s41984-021-00125-x
Access URL: https://doaj.org/article/f1d632b4a5dd488eb2464889c919ef7b
Accession Number: edsdoj.f1d632b4a5dd488eb2464889c919ef7b
Database: Directory of Open Access Journals
More Details
ISSN:25208225
DOI:10.1186/s41984-021-00125-x
Published in:Egyptian Journal of Neurosurgery
Language:English