Çakir Mürteza, Yilmaz Atilla, Çalikoğlu Çağatay
Department of Neurosurgery, Atatürk University, Erzurum, Turkey.
Department of Neurosurgery, Mustafa Kemal University, Hatay, Turkey.
J Pediatr Neurosci. 2017 Apr-Jun;12(2):162-164. doi: 10.4103/jpn.JPN_180_16.
Subdural-peritoneal (SP) shunting is a simple procedure to treat subdural hygromas; however, several rare complications such as shunt migration exist. A 15-year-old boy presented with headache, nausea, and vomiting, and underwent SP shunting for left frontoparietal chronic subdural effusion. Six weeks later, radiographic examinations revealed total migration of the shunt through the pelvic inlet. The migrated shunt was replaced with a new SP shunt. Four weeks later, radiographic examinations revealed shunt migration into the subdural space. The shunt catheter was removed and the subdural effusion was evacuated. Shunt migration may result from pressure differences between the abdomen and the cranium or from head movement, and insufficient fixation and/or large burr holes can facilitate shunt migration. Double firm anchoring and small-sized burr holes can prevent this complication. SP shunt is a simple procedure, and its assumed complications can be prevented through precaution.
硬膜下-腹腔（SP）分流术是治疗硬膜下积液的一种简单手术；然而，存在一些罕见的并发症，如分流管移位。一名15岁男孩出现头痛、恶心和呕吐症状，因左额顶叶慢性硬膜下积液接受了SP分流术。六周后，影像学检查显示分流管完全移位至骨盆入口。将移位的分流管更换为新的SP分流管。四周后，影像学检查显示分流管移入硬膜下间隙。取出分流管并抽出硬膜下积液。分流管移位可能是由于腹部与颅骨之间的压力差或头部运动引起的，固定不充分和/或钻孔过大可能会促使分流管移位。双重牢固固定和小尺寸钻孔可预防此并发症。SP分流术是一种简单的手术，通过预防措施可以避免其假定的并发症。
