Cranial Screw Migration along the Subdural Peritoneal Shunt Catheter in a Pediatric Patient

Author:

Baykoca-Arslan Buse1,Belirgen Muhittin2

Affiliation:

1. Department of Public Health, Texas Tech University Health Sciences Center, Lubbock, Texas, United States

2. Department of Pediatric Neurosurgery, Texas Tech University Health Sciences Center, Lubbock, Texas, United States

Abstract

Abstract Craniotomy is a common surgery used to expose the brain by removing a part of the bone from the skull. During surgery, bone flaps can be fixed by using variety of materials that can migrate in the long term. A 7-year-old boy presented several years after the craniotomy and subdural peritoneal (SP) shunt surgeries. It was decided to remove the shunt catheter, and during the diagnostic tests, we saw that a loosened titanium screw has migrated along the SP shunt catheter from the skull into the abdominal wall. To the best of our knowledge, this is the first case in the reported electronic literature for a pediatric patient with a subcutaneous migration of a screw along the shunt catheter.

Publisher

Scientific Scholar

Subject

Neurology (clinical),General Neuroscience

Reference5 articles.

1. Craniotomy for treatment of chronic subdural hematoma;Abecassis;Neurosurg Clin N Am,2017

2. Paediatric cranioplasty: a review;Salam;Interdiscip Neurosurg,2018

3. Migration of a dissected peritoneal shunt catheter into the scrotum;Fuwa;Brain Dev,1984

4. Subcutaneous migration of a broken dental needle from the mandibular gingiva to the neck: a case report;Karakida;Tokai J Exp Clin Med,2020

5. Long-term complications of cranioplasty using stored autologous bone graft, three-dimensional polymethyl methacrylate, or titanium mesh after decompressive craniectomy: a single-center experience after 596 procedures;Yeap;World Neurosurg,2019

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