Ventriküloperitoneal Şant Kateter Distal Ucunun Torasik Migrasyonu: Olgu Sunumu

Öz

Hidrosefali, beyin omurilik sıvısında artış ile seyreden, serebral ventriküllerde genişlemeye ve serebral kortekste incelmeye neden olan artmış intrakraniyal basınç ile karakterize yaygın bir nöroşirurjikal hastalıktır. Hidrosefalinin yönetiminde en sık kullanılan tedavi yöntemi ventriküloperitoneal şanttır. Şant işlemi sonrası daha çok mekanik obstrüksiyonlar ve enfeksiyonlar görülmektedir. Torasik migrasyon oldukça nadir görülür fakat görüldüğü zaman ivedilikle müdahale edilmesi gereken bir tablodur.

Anahtar Kelimeler

• Hidrosefali
• ventriküloperitoneal şant
• şant komplikasyonu
• torasik migrasyon

Thoracic Migration of the Distal Tip of the Ventriculoperitoneal Shunt Catheter: A Case Report

Öz

Hydrocephalus is a common neurosurgical pathology characterized by increased production of cerebrospinal fluid, causing high intracranial pressure, which results with dilatation of cerebral ventricles and thinned cerebral cortex. The most common treatment of hydrocephalus is ventricoloperitoneal shunt. Mechanic obstruction and infection are seen frequently after shunt procedures. Thoracic migration of distal shunt catheter is rare complication, but when present it must be carried out immediately.

Anahtar Kelimeler

• Hydrocephalus
• ventriculoperitoneal shunt
• shunt complication
• thoracic migration

Kaynakça

1. Porcaro F, Procaccini E, Paglietti MG, Schiavino A, Petreschi F, Cutrera R. Pleural effusion from intrathoracic migration of a ventriculo-peritoneal shunt catheter: pediatric case report and review of the literature. Italian Journal of Pediatrics 2018; 44:42.
2. Ergün R, Ökten Aİ, Gezercan Y. Hydrothorax: Transdiaphragmatic Migration of a Ventriculoperitoneal Shunt Catheter. Pediatr Neurosurg 2008;44:62–64
3. Akyüz M, Uçar T, Göksu E. A thoracic complication of ventriculoperitoneal shunt: symptomatic hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter. Br J Neurosurg. 2004;18(2):171-173.
4. Taub E, Lavyne MH. Thoracic Complications of Ventriculoperitoneal Shunts: Case Report and Review of the Literature. Neurosurgery 1994;34(1):181-183.
5. Allouh MZ, Al Barbarawi MM, Asfour HA, Said RS. Migration of the Distal Catheter of the Ventriculoperitoneal Shunt in Hydrocephalus: A Comprehensive Analytical Review from an Anatomical Perspective. Clin Anat 2017;30(6):821-830
6. Dickman CA, Gilbertson D, Pittman HW, Rekate HL, Daily WJ. Tension hydrothorax from intrapleural migration of a ventriculoperitoneal shunt. Pediatr Neurosci. 1989;15:313Y316
7. Glatstein MM, Roth J, Scolnik D, Haham A, Rimon A, Koren L, Constantini S. Late Presentation of Massive Pleural Effusion From Intrathoracic Migration of a Ventriculoperitoneal Shunt Catheter: case report and revieww of the literature. Pediatr Emer Care 2012;28: 180-182
8. Saha H, Burman SS, Saha K, Ghosh D. Spontaneous Asymptomatic Migration of Ventriculoperitoneal Shunt into Thoracic Cavity: A Case Report with Review of Literature. J Pediatr Neurosci. 2018;13(3):352-354.