Kutty Raja K, Sreemathyamma Sunilkumar Balakrishnan, Sivanandapanicker Jyothish Laila, Asher Prasanth, Peethambaran Anilkumar
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Childs Nerv Syst. 2019 Dec;35(12):2427-2430. doi: 10.1007/s00381-019-04410-x. Epub 2019 Nov 1.
Ventriculo peritoneal shunts offer promising results in the management of hydrocephalus. However, they are not without complications. Shunt migrations and extrusions have been reported plenty of times in the literature. Migration of both the proximal and distal catheter has been reported. However; entire shunt migrations are rare and can result in worsening of the clinical condition of the patient. We report a case of entire shunt migration in to the abdominal cavity which was diagnosed during her childhood 8 years after shunt surgery. The parents of the child were advised shunt removal and new shunt insertion but they did not agree to it and they lost follow-up. The patient attended neurosurgery outpatient clinic 24 years later for evaluation of traumatic brain injury, when this finding was incidentally detected. She remained asymptomatic for this condition during all these years. To our knowledge, such incidence of entire shunt migration being remaining asymptomatic for such a long duration has never been reported in the literature.
脑室腹腔分流术在脑积水的治疗中取得了不错的效果。然而，它们并非没有并发症。文献中多次报道过分流管移位和脱出的情况。近端和远端导管的移位均有报道。然而，整个分流管移位较为罕见，可能导致患者临床状况恶化。我们报告一例分流管在分流手术后8年的童年时期被诊断出整个移入腹腔的病例。患儿家长曾被建议取出分流管并重新插入，但他们不同意，随后失去了随访。24年后，该患者因创伤性脑损伤前来神经外科门诊评估时，这一情况被偶然发现。这些年来她一直对此情况无症状。据我们所知，文献中从未报道过整个分流管移位如此长时间仍无症状的情况。
