de Aquino Humberto Belem, Carelli Edmur Franco, Borges Neto Antonio Guilherme, Pereira Carlos Umberto
Neurology Department and Neurosurgery, Service of State University of Campinas, Campinas City, São Paulo, Brazil.
Childs Nerv Syst. 2006 Oct;22(10):1225-30. doi: 10.1007/s00381-005-0025-z. Epub 2006 Mar 9.
The peritoneal cavity is the most common site of cerebrospinal fluid absorption in hydrocephalus treatment. Many distal catheter complications are the result of this type of treatment, and these have been extensively described in the neurosurgical literature.
In our study, six cases of distal catheter migration with visceral perforation and/or extrusion are presented: three through the umbilicus, two through the scrotum, and one through the anus. An extensive review of the literature was performed.
The studies of peritoneal dialysis models for the treatment of chronic renal failure patients provide important data about solute absorption in the peritoneal cavity and reactivity of the peritoneal membrane.
This model, when compared to distal catheter complications on a ventriculoperitoneal (VP) shunt, presents similarities that could help understand the mechanism of the nonfunctional complications of the distal VP catheter (complication with functional shunt), providing valuable data to support an inflammatory mechanism.
在脑积水治疗中，腹腔是脑脊液吸收最常见的部位。许多远端导管并发症是这种治疗方式的结果，神经外科文献中对此已有广泛描述。
在我们的研究中，呈现了6例远端导管迁移伴内脏穿孔和/或挤出的病例：3例通过脐部，2例通过阴囊，1例通过肛门。对文献进行了广泛回顾。
针对慢性肾衰竭患者的腹膜透析模型研究提供了有关腹腔溶质吸收及腹膜反应性的重要数据。
与脑室腹腔（VP）分流术的远端导管并发症相比，该模型呈现出一些相似之处，有助于理解远端VP导管无功能并发症（功能性分流伴并发症）的机制，为支持炎症机制提供了有价值的数据。
