Kumar Raj
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Indian J Pediatr. 2003 Jan;70(1):21-4. doi: 10.1007/BF02722738.
Shunt infection is one of the commonest and most troublesome cause of shunt failure. According to the etiology and clinical presentations it has been divided into external and internal types.
We hereby present four pediatric cases, who presented with atypical manifestations not coinciding with the above mentioned types of shunt infection. Three patients developed round, globular or diffuse fluctuant CSF filled swellings at the burr hole site, one of whom had involvement of the entire pericatheteral extent upto the abdomen.
The fourth child developed spontaneous expulsion of ventricular end of shunt tube through the dehiscent and infected chest wall incision site.
First three of the above children were diagnosed as having internal type of shunt infections, while the fourth had mixed manifestations of external and internal type.
分流感染是分流失败最常见且最棘手的原因之一。根据病因和临床表现，其被分为外部型和内部型。
我们在此呈现四例儿科病例，他们表现出与上述分流感染类型不符的非典型表现。三名患者在钻孔部位出现圆形、球形或弥漫性波动的充满脑脊液的肿胀，其中一名患者的导管周围整个范围直至腹部均受累。
第四名儿童的分流管脑室端通过裂开且感染的胸壁切口部位自发排出。
上述前三例儿童被诊断为内部型分流感染，而第四例具有外部型和内部型的混合表现。
