Hospital Kuala Lumpur, Neurosurgery Department, Kuala Lumpur, Malaysia.
Med J Malaysia. 2021 Sep;76(5):744-746.
Ventriculoperitoneal shunt (VPS) is a common procedure in neurosurgery for Cerebrospinal Fluid (CSF) diversion. It is associated with various complication. One of the rarer complications is migration of the shunt catheter. The incidence is higher in the paediatric population, up to 71.2% compared to adults 28.8%. We present a case of a 1 year 4 months old boy post TB meningitis with intrathoracic shunt migration 2 months after implantation of VPS. The child presented with upward gaze palsy, on and off productive cough and fever. He had a ventriculoperitoneal shunt inserted 2 months before, when he was diagnosed and treated for TB meningitis. Radiological imaging revealed the distal catheter tip was at the right lung with pneumothorax. The shunt was removed and after confirming that there is no active infection, a new ventriculoperitoneal shunt was reinserted.
脑室腹腔分流术（VPS）是神经外科中一种常见的脑脊液（CSF）引流术。它与各种并发症有关。其中一种较罕见的并发症是分流管迁移。在儿科人群中的发生率更高，高达 71.2%，而成年人则为 28.8%。我们报告了一例 1 岁 4 个月大的男孩，患有结核性脑膜炎，在植入 VPS 后 2 个月发生了胸腔内分流管迁移。患儿表现为上视麻痹、间断性咳嗽和发热。他在 2 个月前被诊断为结核性脑膜炎并接受治疗时，曾进行过脑室腹腔分流术。影像学检查显示远端导管尖端位于右侧肺部伴有气胸。分流管被取出，在确认没有活动性感染后，重新插入了新的脑室腹腔分流管。
