Tiongson Candice Marie Elizabeth D, Navarro Joseph Erroll V, Malilay Oliver Ryan M
Department of Surgery, Section of Neurosurgery, Jose R. Reyes Memorial Medical Center, Manila, PHL.
Cureus. 2025 Jun 15;17(6):e86083. doi: 10.7759/cureus.86083. eCollection 2025 Jun.
A 36-year-old female with obstructive hydrocephalus secondary to adult-onset aqueductal stenosis and a right posterior parietal ventriculoperitoneal shunt presented with headaches and discomfort whenever the skin overlying her current valve was touched during hygiene and hair combing. She was diagnosed with a shunt malfunction and underwent removal of the previous shunt and insertion of a new shunt at the left frontal region using a novel method - the receded shunt technique. This involves creating a depression in the outer table where the shunt valve will be set to eliminate the apparent prominence of the valve. The advantages of this approach include better cosmesis, decreased skin tension, and increased patient comfort. Indeed, a simple modification such as this can provide a significant improvement to this age-old neurosurgical procedure.
一名36岁女性，因成人期导水管狭窄继发梗阻性脑积水，且有右后顶叶脑室腹腔分流管，在日常卫生护理和梳头时，只要碰到覆盖当前分流阀的皮肤，就会出现头痛和不适。她被诊断为分流管故障，并采用一种新方法——后移分流技术，在左额叶区域移除了先前的分流管并植入了新的分流管。该技术包括在外板上制造一个凹陷，用于安置分流阀，以消除阀门明显的突出。这种方法的优点包括更好的美观效果、降低皮肤张力以及提高患者舒适度。事实上，这样一个简单的改进就能为这个古老的神经外科手术带来显著改善。
