Gegg Christopher, Olavarria Greg, Pattisapu Jogi V
Childhood Neurosurgery and Center for Hydrocephalus, PA, 58 West Michigan Street, Orlando, FL 32806, USA.
Childs Nerv Syst. 2009 Apr;25(4):509-10. doi: 10.1007/s00381-008-0794-2. Epub 2009 Jan 17.
We report a case of shunt malfunction after a child was subjected to G forces during a roller coaster ride.
The temporal sequence of events suggests proximal catheter obstruction with subsequent symptoms of raised intracranial pressure immediately after experience with a G force ride. A shunt revision with catheter change led to resolution of symptoms, and findings were consistent with hemorrhage within the catheter.
This case illustrates the risks of such an experience on children with shunts and the implications for patient counseling.
我们报告一例儿童在乘坐过山车时承受重力后分流器出现故障的病例。
事件的时间顺序表明，在经历重力刺激后，近端导管立即阻塞，随后出现颅内压升高的症状。更换导管进行分流器修复后症状得到缓解，检查结果与导管内出血一致。
本病例说明了这种经历对带分流器儿童的风险以及对患者咨询的意义。
