Cargando…

Cord Compression Caused by a Tangled and Warped Lumbar Catheter After Lumboperitoneal Shunt Placement

The present study reports the case of an 81-year-old woman who underwent lumboperitoneal shunt (LPS) placement for idiopathic normal-pressure hydrocephalus. After LPS placement, the patient presented with radicular pain. A computed tomography scan revealed that the intradural lumbar catheter was tan...

Descripción completa

Detalles Bibliográficos
Autores principales: Sato, Kanako, Endo, Toshiki, Sakata, Hiroyuki, Inoue, Tomoo, Niizuma, Kuniyasu, Tominaga, Teiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Spinal Neurosurgery Society 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603828/
https://www.ncbi.nlm.nih.gov/pubmed/30531658
http://dx.doi.org/10.14245/ns.1836114.057
_version_ 1783431595173085184
author Sato, Kanako
Endo, Toshiki
Sakata, Hiroyuki
Inoue, Tomoo
Niizuma, Kuniyasu
Tominaga, Teiji
author_facet Sato, Kanako
Endo, Toshiki
Sakata, Hiroyuki
Inoue, Tomoo
Niizuma, Kuniyasu
Tominaga, Teiji
author_sort Sato, Kanako
collection PubMed
description The present study reports the case of an 81-year-old woman who underwent lumboperitoneal shunt (LPS) placement for idiopathic normal-pressure hydrocephalus. After LPS placement, the patient presented with radicular pain. A computed tomography scan revealed that the intradural lumbar catheter was tangled at the T11 vertebra; therefore, we decided to remove the catheter under local anesthesia. When 1 cm of the lumbar catheter was withdrawn, the patient suddenly complained of complete loss of bilateral leg sensation and muscle strength. Emergency magnetic resonance imaging revealed that the lumbar catheter was tangled and wedged into the ventral spinal cord at T11, causing severe spinal cord compression. In the operating room under general anesthesia, the lumbar catheter was removed through a right T12 hemilaminectomy. Postoperatively, her neurological function was fully restored. Although LPS placement is frequently indicated for idiopathic normal-pressure hydrocephalus, recognition of this rare complication is important for proper LPS management.
format Online
Article
Text
id pubmed-6603828
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Korean Spinal Neurosurgery Society
record_format MEDLINE/PubMed
spelling pubmed-66038282019-07-10 Cord Compression Caused by a Tangled and Warped Lumbar Catheter After Lumboperitoneal Shunt Placement Sato, Kanako Endo, Toshiki Sakata, Hiroyuki Inoue, Tomoo Niizuma, Kuniyasu Tominaga, Teiji Neurospine Case Report The present study reports the case of an 81-year-old woman who underwent lumboperitoneal shunt (LPS) placement for idiopathic normal-pressure hydrocephalus. After LPS placement, the patient presented with radicular pain. A computed tomography scan revealed that the intradural lumbar catheter was tangled at the T11 vertebra; therefore, we decided to remove the catheter under local anesthesia. When 1 cm of the lumbar catheter was withdrawn, the patient suddenly complained of complete loss of bilateral leg sensation and muscle strength. Emergency magnetic resonance imaging revealed that the lumbar catheter was tangled and wedged into the ventral spinal cord at T11, causing severe spinal cord compression. In the operating room under general anesthesia, the lumbar catheter was removed through a right T12 hemilaminectomy. Postoperatively, her neurological function was fully restored. Although LPS placement is frequently indicated for idiopathic normal-pressure hydrocephalus, recognition of this rare complication is important for proper LPS management. Korean Spinal Neurosurgery Society 2019-06 2018-10-02 /pmc/articles/PMC6603828/ /pubmed/30531658 http://dx.doi.org/10.14245/ns.1836114.057 Text en Copyright © 2019 by the Korean Spinal Neurosurgery Society This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sato, Kanako
Endo, Toshiki
Sakata, Hiroyuki
Inoue, Tomoo
Niizuma, Kuniyasu
Tominaga, Teiji
Cord Compression Caused by a Tangled and Warped Lumbar Catheter After Lumboperitoneal Shunt Placement
title Cord Compression Caused by a Tangled and Warped Lumbar Catheter After Lumboperitoneal Shunt Placement
title_full Cord Compression Caused by a Tangled and Warped Lumbar Catheter After Lumboperitoneal Shunt Placement
title_fullStr Cord Compression Caused by a Tangled and Warped Lumbar Catheter After Lumboperitoneal Shunt Placement
title_full_unstemmed Cord Compression Caused by a Tangled and Warped Lumbar Catheter After Lumboperitoneal Shunt Placement
title_short Cord Compression Caused by a Tangled and Warped Lumbar Catheter After Lumboperitoneal Shunt Placement
title_sort cord compression caused by a tangled and warped lumbar catheter after lumboperitoneal shunt placement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603828/
https://www.ncbi.nlm.nih.gov/pubmed/30531658
http://dx.doi.org/10.14245/ns.1836114.057
work_keys_str_mv AT satokanako cordcompressioncausedbyatangledandwarpedlumbarcatheterafterlumboperitonealshuntplacement
AT endotoshiki cordcompressioncausedbyatangledandwarpedlumbarcatheterafterlumboperitonealshuntplacement
AT sakatahiroyuki cordcompressioncausedbyatangledandwarpedlumbarcatheterafterlumboperitonealshuntplacement
AT inouetomoo cordcompressioncausedbyatangledandwarpedlumbarcatheterafterlumboperitonealshuntplacement
AT niizumakuniyasu cordcompressioncausedbyatangledandwarpedlumbarcatheterafterlumboperitonealshuntplacement
AT tominagateiji cordcompressioncausedbyatangledandwarpedlumbarcatheterafterlumboperitonealshuntplacement