Complete intraventricular migration of the ventriculoperitoneal shunt

Year 2017, Volume: 3 Issue: 1, 87 - 89, 04.03.2017

Elif Basaran Gundogdu , Ufuk Ozsoy Yusuf Tuzun

https://doi.org/10.18621/eurj.293365

Abstract

Intracranial migration of the ventriculoperitoneal shunt is an extremely rare situation. A 2-month-old infant who had undergone ventriculoperitoneal shunt for hydrocephalus in the neonatal period presented with feeding problems and increasing head circumference. There was intracranial migration on cranial computed tomography and shunt survey images. Endoscopically the shunt was removed and a new shunt was applied. The patient was discharged with cure. This extremely rare shunt complication and its surgery both have serious complications. Therefore, the surgical technique, proper fixation of the shunt and the use of the right shunting material are significantly important. 

Keywords

Shunt complication, intraventricular migration, endoscopic procedures

References

• [1] Acharya R, Bhutani A, Saxena H, Madan VS. Complete migration of ventriculoperitoneal shunt into the ventricle. Neurol Sci 2002;23:75-7.
• [2] Ammirati M, Raimondi A. Cerebrospinal fluid shunt infections in children. A study of the relationship between the etiology of the hydrocephalus, age at the time of shunt placement, and infection rate. Childs Nerv Syst 1987;3:106-9.
• [3] Choudhury AR. Avoidable factors that contribute to the complications of ventricüloperitoneal shunt in childhood hydrocephalus. Childs Nerv Syst 1990;6:346-9.
• [4] Shimizu S, Machizuki T, Nakayama K, Fujii K. Visual field defects due to a shunt valve migration into the cranium. Acta Neurochir (Wien) 2002;144:1055-6.
• [5] Serlo W, Fernell E, Heikkinen E, Anderson H, Von Wendt L. Functions and complications of shunt in different etiologies of childhood hydrocephalus. Childs Nerv Syst 1990;6:92-4.
• [6] Cerron-Rojas VR, Vega-Basulto S, Varela-Hernandez A, Montejo-Montejo J, Gutierrez-Munoz FG. [Simultaneous cephalic migration of a ventriculoperitoneal shunt into the intraventricular and subdural spaces. A case report]. Rev Neurol 2001;33:437-9. [Article in Spanish]
• [7] Kanai M, Kawano K, Uehara S. Upward migration of the L-P shunt catheter in to the cranial base. Osaka City Med J 1999;45:123-7.
• [8] Yilmaz N, Kiymaz N, Yilmaz C, Yazici T, Bay A. [The intracranial miıgration of ventricular catheter of ventriculoperitoneal shunt]. Van Tip Dergisi 2005;12:164-6. [Article in Turkish]
• [9] Echizenya K, Satoh M, Mural H, Ueno H, Abe H, Komai T. Mineralization and biodegradation of CSF shunting systems. Neurosurg 1987;67:584-91.
• [10] Sugar O, Bailey OT. Subcutaneous reaction to silicone in ventriculoperitoneal shunts. Long-term results. J Neurosurg 1974;41:367-71.
• [11] Haase J, Bang F, Tange M. Danish experience with the onepiece shunt. A long-term follow-up. Childs Nerv Syst 1987;3:93-6.
• [12] Raimondi AJ, Robinson JS, Kuwawura K. Complications of ventriculoperitoneal shunting and a critical comparison of the threepiece and one-piece systems. Child’s Brain 1977;3:321-42.
• [13] Karatas MA, Dagtekin A, Avci E, Bagdatoglu C. [Shunt disfunctions]. Turk Norosirurji Dergisi 2013;2:202-7. [Article in Turkish]
• [14] Oluwole KE, Abiodun AA. Complete intraventricular migration of a ventriculo-peritoneal shunt. A case report and brief literature review. Afr J Neurol Sci 2007;26:69-74.
• [15] Sharma RK, Bansal M, Agrawal M, Gupta A, Sinha VD. Complete intracranial migration of a ventriculoperitoneal shunt: rare complication of a common procedure. Neurol India 2015;63;106-7.
• [16] Naik V, Phalak M, Chandra PS. Total intracranial shunt migration. J Neurosci Rural Pract 2013;4:95-6.
• [17] Sengul G, Tuzun Y, Kadioglu HH, Aydin IH. Complete intraventricular unisystem ventriculoperitoneal shunt migration. Pediatr Neurosurg 2005;41:337-8.