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Hydrothorax Development after Ventriculopleural Shunt in a Patient with Peritoneum Absorption Dysfunction

Year 2014, Volume: 39 Issue: 4, 0 - , 22.07.2014
https://doi.org/10.17826/cutf.20033

Abstract

Although hydrocephaly has been recognized for years, its treatment and follow-up remain obscure. Ventriculoperitoneal shunt application is the most common treatment used in recent years. However, revision incidence and mortality are very high due to infection, overdrainage or underdrainage, and obstruction. 62 years old female patient was operated and ventriculopleural shunt performed in our clinic. Fifth day after operation persistant dyspneic complaints exists. Chest graphia performed and bilateral pleural effusion was seen. In this report, we present a case of hydrothorax after ventriculopleural shunt operation. Ventriculopleural shunting was preferred in this patient because peritoneal absorption disorder developed after recurrent ventriculoperitoneal shunt operations and revisions. The tension hydrothorax that developed is discussed in light of the relevant literature.

References

  • Hayhow B, Begic F, Evans A, Velakoulis D, Gaillard F.Communicating hydrocephalus with reversible cognitive impairment.Aust N Z J Psychiatry. 2014;48:379-80.
  • Lyons AE. Hydrocephalus first illustrated. Neurosurgery. 1995;37:511-13.
  • Adams RD, Fisher CM and Hakim S. Symptomatic occult hydrocephalus with normal cerebrospinal-fluid pressure. A treatable syndrome. N Engl J Med.1965;273:117-26.
  • Kocaogullar Y, Güney O, Kaya B, Erdi F. CSF hydrothorax after ventriculoperitoneal shunt without catheter migration: a case report.Neurol Sci. 2011;32:949-52.
  • Mertol T and Cınaz P. Pediatrik yaş gruplarında hidrosefali. Yeni Tıp Derg. 1987;4:26-8.
  • Jeppsson A, Zetterberg H, Blennow K, Wikkelso C. Idiopathic normal-pressure hydrocephalus: pathophysiology and diagnosis by CSF biomarkers.Neurology. 2013;80:1385-92
  • Dias MS and McLone GD. Hydrocephalus in the child with dysraphism. Neurosurg Clin North Am. 1993;4:715-26.
  • Stein SC, Schut L. Hydrocephalus in myelomeningocele. Childs Brain. 1979;5:413-9.
  • Paranathala MP, Sitsapesan H, Green AL, CadouxHudson TA, Pereira EA. Idiopathic normal pressure hydrocephalus: an important differential diagnosis.Br J Hosp Med (Lond). 2013;74:564-70.
  • Kono K, Tomura N, Okada H, Terada T. Iatrogenic pneumothorax after ventriculoperitoneal shunt: an unusual complication and a review of the literature.Turk Neurosurg. 2014;24:123-6.
  • Hanigan WC, Morgan A, Shaaban A, Bradle P. Surgical treatment and long-term neurodevelopmental outcome for infants with idiopathic aqueductal stenosis. Childs Nerv Syst. 1991;7: 386-90.
  • Jones RF, Currie BG, Kwok BC. Ventriculopleural shunts for hydrocephalus: a useful alternative. Neurosurgery. 1988;23:753-5.
  • Wallman LJ. Shunting for hydrocephalus: an oral history. Neurosurgery. 1982;11:308-13.
  • Yazışma Adresi / Address for Correspondence: Dr.Mustafa Kemal Ilik, MD Mevlana University Department of Neurosurgery 42040 Meram/KONYA
  • E-mail: mkilik@gmail.com G eliş tarihi/Received on :13.04.2014
  • Kabul tarihi/Accepted on: 21.05.2014

Periton Absorbsiyon Bozukluğu Olan Bir Hastada Ventriküloplevral Şant Operasyonu Sonrasında Gelişen Hidrotoraks

Year 2014, Volume: 39 Issue: 4, 0 - , 22.07.2014
https://doi.org/10.17826/cutf.20033

Abstract

Hidrosefali yıllardan beri bilinen bir hastalık olmasına rağmen takip ve tedavisinde halen bilinmeyen noktalar bulunmaktadır. Hidrosefali tedavisinde alen ventriküloperitoneal şant cerrahisi en sık kullanılan tedavi yöntermidir. Ancak revizyon insidansı ve mortalitesi; enfeksiyon, fazla/az drenaj , tıkanma nedeniyle oldukça yüksektir. 62 yaşında bayan hasta kliniğimizde opere edilerek ventriküloplevral şant uygulandı. Ameliyat sonrası beşinci günde hastada ilerleyici tipte nefes darlığı ve siyanoz şikayetleri ortaya çıktı. Hastanın çekilen akciğer grafisinde solda plevral effüzyon tespit edildi.. Ventriküloplevral şant cerrahisi rekürren ventriküloperitoneal şant operasyonları ve revizyonları sonrası görülebilen peritoneal absorbsiyon bozuklukları nedeniyle tercih edilmektedir. Bu raporda ventriküloplevral şant sonrası gelişen tansiyon hidrotorakslı bir olgu sunulmuş ve literatür eşliğinde tartışılmıştır.

References

  • Hayhow B, Begic F, Evans A, Velakoulis D, Gaillard F.Communicating hydrocephalus with reversible cognitive impairment.Aust N Z J Psychiatry. 2014;48:379-80.
  • Lyons AE. Hydrocephalus first illustrated. Neurosurgery. 1995;37:511-13.
  • Adams RD, Fisher CM and Hakim S. Symptomatic occult hydrocephalus with normal cerebrospinal-fluid pressure. A treatable syndrome. N Engl J Med.1965;273:117-26.
  • Kocaogullar Y, Güney O, Kaya B, Erdi F. CSF hydrothorax after ventriculoperitoneal shunt without catheter migration: a case report.Neurol Sci. 2011;32:949-52.
  • Mertol T and Cınaz P. Pediatrik yaş gruplarında hidrosefali. Yeni Tıp Derg. 1987;4:26-8.
  • Jeppsson A, Zetterberg H, Blennow K, Wikkelso C. Idiopathic normal-pressure hydrocephalus: pathophysiology and diagnosis by CSF biomarkers.Neurology. 2013;80:1385-92
  • Dias MS and McLone GD. Hydrocephalus in the child with dysraphism. Neurosurg Clin North Am. 1993;4:715-26.
  • Stein SC, Schut L. Hydrocephalus in myelomeningocele. Childs Brain. 1979;5:413-9.
  • Paranathala MP, Sitsapesan H, Green AL, CadouxHudson TA, Pereira EA. Idiopathic normal pressure hydrocephalus: an important differential diagnosis.Br J Hosp Med (Lond). 2013;74:564-70.
  • Kono K, Tomura N, Okada H, Terada T. Iatrogenic pneumothorax after ventriculoperitoneal shunt: an unusual complication and a review of the literature.Turk Neurosurg. 2014;24:123-6.
  • Hanigan WC, Morgan A, Shaaban A, Bradle P. Surgical treatment and long-term neurodevelopmental outcome for infants with idiopathic aqueductal stenosis. Childs Nerv Syst. 1991;7: 386-90.
  • Jones RF, Currie BG, Kwok BC. Ventriculopleural shunts for hydrocephalus: a useful alternative. Neurosurgery. 1988;23:753-5.
  • Wallman LJ. Shunting for hydrocephalus: an oral history. Neurosurgery. 1982;11:308-13.
  • Yazışma Adresi / Address for Correspondence: Dr.Mustafa Kemal Ilik, MD Mevlana University Department of Neurosurgery 42040 Meram/KONYA
  • E-mail: mkilik@gmail.com G eliş tarihi/Received on :13.04.2014
  • Kabul tarihi/Accepted on: 21.05.2014
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Erdal Kalkan This is me

Mustafa Kemal Ilik This is me

Fatih Erdi This is me

Bülent Kaya This is me

Publication Date July 22, 2014
Published in Issue Year 2014 Volume: 39 Issue: 4

Cite

MLA Kalkan, Erdal et al. “Periton Absorbsiyon Bozukluğu Olan Bir Hastada Ventriküloplevral Şant Operasyonu Sonrasında Gelişen Hidrotoraks”. Cukurova Medical Journal, vol. 39, no. 4, 2014, doi:10.17826/cutf.20033.