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分流器移位:抽水试验的一种并发症。

The Shunt Slippage: A Complication of Pumping Test.

作者信息

Kim El

机构信息

Department of Neurosurgery, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.

出版信息

Korean J Neurotrauma. 2022 Feb 10;18(1):110-115. doi: 10.13004/kjnt.2022.18.e5. eCollection 2022 Apr.

Abstract

Surgery for the placement of a ventriculoperitoneal shunt incurs numerous procedure-related complications. Distal dislodgment of the device from the cranial insertion site after pumping of the shunt chamber has rarely occurred and it has not been evaluated to date. Herein, we report an interesting case of a 20-year-old man who underwent shunt revision for ventricular catheter migration after a manual pumping test. We reviewed previously reported cases related to such rare conditions and described a simple method of valve fixation for preventing disconnection and migration of the proximal shunt system.

摘要

脑室腹腔分流术会引发许多与手术相关的并发症。在对分流腔进行抽吸后,分流装置从颅骨插入部位向远端移位的情况极为罕见,且迄今为止尚未得到评估。在此,我们报告一例有趣的病例,一名20岁男性在进行手动抽吸测试后因脑室导管移位而接受了分流器修复手术。我们回顾了先前报道的与此类罕见情况相关的病例,并描述了一种简单的瓣膜固定方法,以防止近端分流系统的断开和移位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8900/9064754/b69c72909b9d/kjn-18-110-g001.jpg

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