Baykoca-Arslan Buse, Belirgen Muhittin
Department of Public Health, Texas Tech University Health Sciences Center, Lubbock, Texas, United States.
Department of Pediatric Neurosurgery, Texas Tech University Health Sciences Center, Lubbock, Texas, United States.
J Neurosci Rural Pract. 2022 Aug 7;13(3):576-577. doi: 10.1055/s-0042-1750705. eCollection 2022 Jul.
Craniotomy is a common surgery used to expose the brain by removing a part of the bone from the skull. During surgery, bone flaps can be fixed by using variety of materials that can migrate in the long term. A 7-year-old boy presented several years after the craniotomy and subdural peritoneal (SP) shunt surgeries. It was decided to remove the shunt catheter, and during the diagnostic tests, we saw that a loosened titanium screw has migrated along the SP shunt catheter from the skull into the abdominal wall. To the best of our knowledge, this is the first case in the reported electronic literature for a pediatric patient with a subcutaneous migration of a screw along the shunt catheter.
开颅手术是一种常见的外科手术，通过从颅骨上移除一部分骨头来暴露大脑。在手术过程中，可以使用多种可能会长期移位的材料来固定骨瓣。一名7岁男孩在开颅手术和硬膜下腹腔（SP）分流手术后数年就诊。决定移除分流导管，在诊断检查过程中，我们发现一颗松动的钛螺钉沿着SP分流导管从颅骨迁移到了腹壁。据我们所知，这是已发表的电子文献中首例报道的儿科患者螺钉沿分流导管发生皮下迁移的病例。
