Liu Jie, Guo Mian
Department of Neurosurgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China.
World J Clin Cases. 2020 Oct 6;8(19):4676-4680. doi: 10.12998/wjcc.v8.i19.4676.
The common treatment for hydrocephalus is insertion of a ventriculoperitoneal shunt. Shunt tube displacement is one of the common complications. Most shunt tube displacements occur in children and has a reportedly lower incidence in adults.
This study reports an adult patient (male, 56 years) who suffered from intracranial aneurysm and subarachnoid hemorrhage and underwent aneurysm clipping following hospitalization. One month post onset of the disease, the patient underwent ventriculoperitoneal shunt due to hydrocephalus. The peritoneal end of the shunt tube was displaced in the peritoneal cavity 9 years after the aneurysm clipping. The peritoneal end of the shunt tube was removed and ventriculoperitoneal shunt was re-performed after anti-inflammatory treatment.
Shunt tube displacement has a low incidence in adults. In order to avoid shunt tube displacement, there is a need to summarize its causative factors and practice personalized medicine.
脑积水的常见治疗方法是插入脑室腹腔分流管。分流管移位是常见并发症之一。大多数分流管移位发生在儿童中，据报道在成人中的发生率较低。
本研究报告了一名成年患者（男性，56岁），该患者患有颅内动脉瘤和蛛网膜下腔出血，住院后接受了动脉瘤夹闭术。发病后1个月，患者因脑积水接受了脑室腹腔分流术。动脉瘤夹闭术后9年，分流管的腹腔端在腹腔内发生移位。在抗炎治疗后，取出分流管的腹腔端并重新进行脑室腹腔分流术。
分流管移位在成人中的发生率较低。为避免分流管移位，有必要总结其致病因素并实施个性化医疗。
