Cargando…
Pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus
BACKGROUND: Ventriculoperitoneal shunt (VPS) insertion is one of the most common neurosurgical procedures done around the world to treat hydrocephalus. The occurrence of spontaneous migration of the peritoneal shunt catheter into the thoracic cavity is a very rare complication; we report here case n...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479560/ https://www.ncbi.nlm.nih.gov/pubmed/36128165 http://dx.doi.org/10.25259/SNI_486_2022 |
_version_ | 1784790818097201152 |
---|---|
author | Walker, Richard W. Roman, Gustavo C. Zhang, Yi Jonathan Acres, Omar |
author_facet | Walker, Richard W. Roman, Gustavo C. Zhang, Yi Jonathan Acres, Omar |
author_sort | Walker, Richard W. |
collection | PubMed |
description | BACKGROUND: Ventriculoperitoneal shunt (VPS) insertion is one of the most common neurosurgical procedures done around the world to treat hydrocephalus. The occurrence of spontaneous migration of the peritoneal shunt catheter into the thoracic cavity is a very rare complication; we report here case number 27 of respiratory complications of a VPS in a patient with normal-pressure hydrocephalus (NPH). CASE DESCRIPTION: A 76-year-old woman with Alzheimer’s disease and anosognosia was diagnosed idiopathic NPH treated surgically with a VPS. Pleural effusion and pulmonary complications occurred 4 weeks after the insertion of the shunt due to the spontaneous migration of the peritoneal catheter of the VPS into the thoracic cavity. The hydrothorax of cerebrospinal fluid was drained and the distal catheter was removed and replaced. The patient made an uneventful recovery. CONCLUSION: Due to the rarity of this complication, there are no standard corrective procedures. Some of the methods used to diagnose and successfully treat this rare complication of the VPS are presented. |
format | Online Article Text |
id | pubmed-9479560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-94795602022-09-19 Pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus Walker, Richard W. Roman, Gustavo C. Zhang, Yi Jonathan Acres, Omar Surg Neurol Int Case Report BACKGROUND: Ventriculoperitoneal shunt (VPS) insertion is one of the most common neurosurgical procedures done around the world to treat hydrocephalus. The occurrence of spontaneous migration of the peritoneal shunt catheter into the thoracic cavity is a very rare complication; we report here case number 27 of respiratory complications of a VPS in a patient with normal-pressure hydrocephalus (NPH). CASE DESCRIPTION: A 76-year-old woman with Alzheimer’s disease and anosognosia was diagnosed idiopathic NPH treated surgically with a VPS. Pleural effusion and pulmonary complications occurred 4 weeks after the insertion of the shunt due to the spontaneous migration of the peritoneal catheter of the VPS into the thoracic cavity. The hydrothorax of cerebrospinal fluid was drained and the distal catheter was removed and replaced. The patient made an uneventful recovery. CONCLUSION: Due to the rarity of this complication, there are no standard corrective procedures. Some of the methods used to diagnose and successfully treat this rare complication of the VPS are presented. Scientific Scholar 2022-09-02 /pmc/articles/PMC9479560/ /pubmed/36128165 http://dx.doi.org/10.25259/SNI_486_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Walker, Richard W. Roman, Gustavo C. Zhang, Yi Jonathan Acres, Omar Pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus |
title | Pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus |
title_full | Pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus |
title_fullStr | Pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus |
title_full_unstemmed | Pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus |
title_short | Pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus |
title_sort | pleural effusion and respiratory compromise from spontaneous migration of a ventriculoperitoneal shunt catheter in a patient with normal-pressure hydrocephalus |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479560/ https://www.ncbi.nlm.nih.gov/pubmed/36128165 http://dx.doi.org/10.25259/SNI_486_2022 |
work_keys_str_mv | AT walkerrichardw pleuraleffusionandrespiratorycompromisefromspontaneousmigrationofaventriculoperitonealshuntcatheterinapatientwithnormalpressurehydrocephalus AT romangustavoc pleuraleffusionandrespiratorycompromisefromspontaneousmigrationofaventriculoperitonealshuntcatheterinapatientwithnormalpressurehydrocephalus AT zhangyijonathan pleuraleffusionandrespiratorycompromisefromspontaneousmigrationofaventriculoperitonealshuntcatheterinapatientwithnormalpressurehydrocephalus AT acresomar pleuraleffusionandrespiratorycompromisefromspontaneousmigrationofaventriculoperitonealshuntcatheterinapatientwithnormalpressurehydrocephalus |