Ammar A, Nasser M
Department of Neurosurgery, King Faisal University, King Fahd Hospital, Al Khobar, Saudi Arabia.
Neurosurg Rev. 1995;18(1):65-7. doi: 10.1007/BF00416481.
One of the most common causes of shunt malfunction is infection; a major contributing factor to this infection in neonates is scalp necrosis over the valve site. One of the methods recommended to avoid this requires the burying of the valve in the skull bone. We present a case of a long-term complication from this procedure: the shunt slowly disconnected, over a prolonged period, leading to the formation of the fibrous tunnel which enabled the shunt to function intermittently. We recommend that the practice of burying the shunt into the skull bone is be reconsidered.
分流器故障最常见的原因之一是感染；新生儿感染的一个主要促成因素是瓣膜部位的头皮坏死。推荐的避免这种情况的方法之一是将瓣膜埋入颅骨。我们报告了一例该手术的长期并发症：分流器在很长一段时间内慢慢断开，导致纤维通道形成，使分流器能够间歇性发挥作用。我们建议重新考虑将分流器埋入颅骨的做法。
