Abstract
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.
Publisher
Springer Science and Business Media LLC
Reference13 articles.
1. Surchev J, Georgiev K, Enchev Y, Avramov R. Extremely rare complications in cerebrospinal fluid shunt operations. J Neurosurg Sci. 2002;46(2):100–2 (discussion 103).
2. Nejat F, Shahsavaran S, El Khashab M, Keikhosravi E, Kermani H. Ventriculoperitoneal shunt migration and coiling: a report of two cases. J Pediatr Neurosci. 2012;7(2):114.
3. Nadkarni T, Menon R, Dange N, Desai K, Goel A. Cranial migration of complete ventriculo-peritoneal shunt assembly. J Clin Neurosci. 2007;14(1):92–4.
4. Sharma RK, Bansal M, Agrawal M, Gupta A, Sinha V. Complete intracranial migration of a ventriculoperitoneal shunt: rare complication of a common procedure. Neurol India. 2015;63:106–7.
5. Mori K, Yamashita J, Handa H. “Missing tube” of peritoneal shunt: migration of the whole system into ventricle. Surg Neurol. 1975;4(1):57–9.
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