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Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report

INTRODUCTION AND IMPORTANCE: A ventriculoperitoneal (VP) shunt is a cerebral shunt used to treat hydrocephalus. This is used to remove the excessive accumulation of cerebrospinal fluid inside the ventricles. CASE PRESENTATION: We are reporting a rare case of complete intracranial migration of a vent...

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Autores principales: Deo, Ram Chandra, Acharya, Abhijit, Senapati, Satya Bhusan, Panigrahi, Souvagya, Mohapatra, Ashok Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673085/
https://www.ncbi.nlm.nih.gov/pubmed/36399945
http://dx.doi.org/10.1016/j.ijscr.2022.107772
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author Deo, Ram Chandra
Acharya, Abhijit
Senapati, Satya Bhusan
Panigrahi, Souvagya
Mohapatra, Ashok Kumar
author_facet Deo, Ram Chandra
Acharya, Abhijit
Senapati, Satya Bhusan
Panigrahi, Souvagya
Mohapatra, Ashok Kumar
author_sort Deo, Ram Chandra
collection PubMed
description INTRODUCTION AND IMPORTANCE: A ventriculoperitoneal (VP) shunt is a cerebral shunt used to treat hydrocephalus. This is used to remove the excessive accumulation of cerebrospinal fluid inside the ventricles. CASE PRESENTATION: We are reporting a rare case of complete intracranial migration of a ventriculoperitoneal shunt, a potentially fatal complication, presenting to us with hydrocephalous. The baby was taken up for surgery with endoscopic assisted shunt removal and shunt revision. CLINICAL DISCUSSION: Ventriculoperitoneal shunt is one of the common procedures used in infants and children, however, it is used in all age groups for hydrocephalous. The shunt is associated with multiple large number of complications like obstruction, infection, migration, and separation from the connected site. Etc. Shunt migration is a less common complication of which cranial migration is still less common. CONCLUSION: Optimum creation of the sub-galeal space for the shunt chamber, a smaller burr hole, a smaller dural opening, and proper anchorage of the chamber to the pericranium, are some of the measures that may be useful in obviating this complication.
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spelling pubmed-96730852022-11-19 Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report Deo, Ram Chandra Acharya, Abhijit Senapati, Satya Bhusan Panigrahi, Souvagya Mohapatra, Ashok Kumar Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: A ventriculoperitoneal (VP) shunt is a cerebral shunt used to treat hydrocephalus. This is used to remove the excessive accumulation of cerebrospinal fluid inside the ventricles. CASE PRESENTATION: We are reporting a rare case of complete intracranial migration of a ventriculoperitoneal shunt, a potentially fatal complication, presenting to us with hydrocephalous. The baby was taken up for surgery with endoscopic assisted shunt removal and shunt revision. CLINICAL DISCUSSION: Ventriculoperitoneal shunt is one of the common procedures used in infants and children, however, it is used in all age groups for hydrocephalous. The shunt is associated with multiple large number of complications like obstruction, infection, migration, and separation from the connected site. Etc. Shunt migration is a less common complication of which cranial migration is still less common. CONCLUSION: Optimum creation of the sub-galeal space for the shunt chamber, a smaller burr hole, a smaller dural opening, and proper anchorage of the chamber to the pericranium, are some of the measures that may be useful in obviating this complication. Elsevier 2022-11-08 /pmc/articles/PMC9673085/ /pubmed/36399945 http://dx.doi.org/10.1016/j.ijscr.2022.107772 Text en © 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Deo, Ram Chandra
Acharya, Abhijit
Senapati, Satya Bhusan
Panigrahi, Souvagya
Mohapatra, Ashok Kumar
Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report
title Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report
title_full Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report
title_fullStr Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report
title_full_unstemmed Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report
title_short Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report
title_sort complete intraventricular migration of ventriculo-peritoneal shunt: a rare case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673085/
https://www.ncbi.nlm.nih.gov/pubmed/36399945
http://dx.doi.org/10.1016/j.ijscr.2022.107772
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