Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Neurol Sci. 2010 Dec;31(6):817-20. doi: 10.1007/s10072-010-0289-2. Epub 2010 May 8.
A cranial spinal fluid fistula through left lumbar region following a ventriculoperitoneal (VP) shunt is an extremely rare complication. We report a 25-year-old man who presented with the leakage of clear fluid from the left lumbar region, 3 years after a VP shunt surgery. Computerized tomography scan of abdomen revealed that the distal end of the catheter penetrated into the inner layer of the wall of left lumbar region. He was managed successfully with abdominal part of shunt catheter removal from primary cervical and abdominal incision, a new abdominal part of VP shunt catheter replacement and prophylactic antibiotic.
颅脑脊液瘘通过左腰部脑室腹膜（VP）分流后是一种极罕见的并发症。我们报告了一位 25 岁男性，在 VP 分流手术后 3 年出现从左侧腰部漏出清亮液体。腹部计算机断层扫描显示导管的远端穿透到左侧腰部壁的内层。通过从原颈椎和腹部切口取出分流导管的腹部部分、更换新的腹部 VP 分流导管和预防性使用抗生素，成功地对其进行了治疗。
