Erol Fatih Serhat, Cakin Hakan, Ozturk Sait, Donmez Osman, Kaplan Metin
Firat University, Faculty of Medicine, Department of Neurosurgery, Elazig, Turkey.
Turk Neurosurg. 2013;23(6):821-3. doi: 10.5137/1019-5149.JTN.6351-12.2.
Ventriculoperitoneal (VP) shunt proximal tip disconnection is rarely seen as a shunt complication. Shunt dysfunction and hydrocephaly can develop due to this disconnection. Presented here is a case of a disconnection of the ventricular catheter from the shunt valve, which passed between both lateral ventricles by free floating in the brain CT. The patient was operated on for hydrocephaly. The dysfunctional shunt valve and peritoneal catheter were removed and a new VP shunt system was implemented. Although some publications report that the ventricular catheter can be disconnected from the shunt valve, can adhere to the intraventricular structures, and can be a source of infection, no studies similar to the current case were found in the literature reporting a free floating ventricular catheter between the lateral ventricles.
脑室腹腔(VP)分流管近端尖端断开作为一种分流并发症很少见。由于这种断开,可能会出现分流功能障碍和脑积水。本文介绍了一例脑室导管与分流阀断开的病例,在脑部CT中可见该导管在双侧脑室之间自由漂浮。该患者因脑积水接受了手术。移除了功能失调的分流阀和腹腔导管,并实施了新的VP分流系统。尽管一些出版物报道脑室导管可能会与分流阀断开、粘连于心室内结构并可能成为感染源,但在文献中未发现与当前病例类似的报道,即脑室导管在双侧脑室之间自由漂浮。