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病例报告:脑室腹腔分流管断开,因癫痫发作导致分流管远端完全移入腹腔。

Case report: Ventriculoperitoneal shunt disconnection resulting in migration of the distal catheter entirely into the abdominal cavity due to seizure.

作者信息

Yang Xiang, Yang Chaohua, Zhang Yuekang

机构信息

Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, China.

出版信息

Front Surg. 2022 Sep 23;9:1012720. doi: 10.3389/fsurg.2022.1012720. eCollection 2022.

Abstract

Ventriculoperitoneal (VP) shunt disconnection, a VP shunt complication, can be caused by several factors. We report the case of a young man who suffered VP shunt disconnection, and whose entire distal catheter migrated into the abdominal cavity due to a seizure. To our knowledge, risk factors for seizures related to shunt disconnection have not been previously evaluated. We report this rare case to highlight the fact that seizures are not negligible in increasing the probability of disconnection and migration of the entire distal catheter into the abdominal cavity, and the standardized treatment of traumatic seizures is extremely important.

摘要

脑室腹腔(VP)分流管断开是一种VP分流术并发症,可由多种因素引起。我们报告一例年轻男性发生VP分流管断开的病例,其整个远端导管因癫痫发作而移入腹腔。据我们所知,此前尚未评估与分流管断开相关的癫痫发作危险因素。我们报告这一罕见病例,以强调癫痫发作在增加分流管断开及整个远端导管移入腹腔的可能性方面不可忽视,并且外伤性癫痫的规范化治疗极其重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa42/9537736/f0355abd115d/fsurg-09-1012720-g001.jpg

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