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气泡导致脑室腹腔分流管阻塞:一例报告

Obstruction of ventriculoperitoneal shunt by air bubble: A case report.

作者信息

Makhchoune Marouane, Triffaux Michel, Bouras Triantafyllos, Hamoir Xavier

机构信息

Neurosurgery Department, Hospital Center of Wallonie Picarde, Tournai, Belgium.

Radiology Department, Hospital Center of Wallonie Picarde, Tournai, Belgium.

出版信息

Ann Med Surg (Lond). 2022 Aug 24;81:104351. doi: 10.1016/j.amsu.2022.104351. eCollection 2022 Sep.

Abstract

Complications related to Ventriculoperitoneal shunt placement are common, and multiple. Among them blockage and infection. We report a case of 44 years old man admitted to our hospital after an obstruction of his ventriculo-peritoneal shunt by an air bubble that caused behavioral problems and confusion. The patient was operated twice, the last time the puncture point had to be changed. The follow up was marked by a clear clinical improvement. Shunt malfunction continues to be a common neurosurgical problem in patients with shunted hydrocephalus, often leading to frequent and sometimes lengthy hospital stays. This case illustrates the management of this rare situation causing air bubble shunt obstruction.

摘要

与脑室腹腔分流术置管相关的并发症很常见,且多种多样。其中包括堵塞和感染。我们报告一例44岁男性患者,其脑室腹腔分流管被气泡阻塞后出现行为问题和意识模糊,随后入住我院。该患者接受了两次手术,最后一次手术时不得不更换穿刺点。随访结果显示临床症状明显改善。分流管故障仍是脑积水分流患者常见的神经外科问题,常导致频繁且有时较长时间的住院治疗。本病例说明了这种罕见的气泡导致分流管阻塞情况的处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8b8/9486626/0bc29eb0ed2c/gr1.jpg

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