Guclu Bulent, Hicdonmez Tufan, Adilay Utku, Altuntas Yunus Emre
University of Health Sciences, Kartal Dr Lutfi Kirdar Research and Training Hospital, Neurosurgery Clinic, Istanbul, Turkey.
Turk Neurosurg. 2020;30(1):138-140. doi: 10.5137/1019-5149.JTN.20951-17.2.
Ventriculo-gallblader shunt is very rarely used in the treatment of hydrocephalus. A 44-year-old male with ventriculoatrial shunt dysfunction was evaluated. His ventriculoatrial shunt was not working. His medical history revealed that his hydrocephalus was treated five times by venrtriculoperitoneal shunt, and four times by ventriculoatrial shunt. Another trial for ventriculoperitoneal or ventriculoatrial shunting was not considered feasible. A ventriculo-gallbladder shunt was placed to the patient as a potential salvage procedure. Remarkably, the patient benefited from the ventriculo-gallbladder shunt and was discharged from the hospital. We think that ventriculo-gallbladder shunting is a safe and effective treatment for hydrocephalus as the last resort in complicated cases of shunt dysfunction.
脑室-胆囊分流术在脑积水治疗中极少使用。对一名患有脑室-心房分流功能障碍的44岁男性进行了评估。他的脑室-心房分流装置无法正常工作。他的病史显示，他的脑积水曾接受过5次脑室-腹腔分流术治疗和4次脑室-心房分流术治疗。再次进行脑室-腹腔或脑室-心房分流术被认为不可行。作为一种可能的挽救措施，为该患者实施了脑室-胆囊分流术。值得注意的是，患者从脑室-胆囊分流术中获益并出院。我们认为，脑室-胆囊分流术作为分流功能障碍复杂病例的最后手段，是一种安全有效的脑积水治疗方法。
