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Complete intracranial migration of ventriculoperitoneal shunt: a common procedure with a rare complication
oleh: Hammad Mehtab, Ahtesham Khizar, Soha Zahid, Sameer Saleem Tebha, Maha Irfan
Format: | Article |
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Diterbitkan: | SpringerOpen 2021-11-01 |
Deskripsi
Abstract Background Ventriculoperitoneal shunt insertion is widely used in the treatment of different kinds of hydrocephalus. Shunt failure is one of the most common complications; however complete intracranial shunt migration is rarely reported. Case presentation We report a case of an eleven-month-old girl with complete intracranial migration of Ventriculoperitoneal Shunt (Chhabra Shunt). We removed this intracranially migrated shunt with the help of an endoscope (GAAB) and inserted a new Ventriculoperitoneal Shunt (Medtronic Shunt) on the opposite side. She had a good clinical outcome. Conclusion Complete intracranial shunt migration is an extremely rare complication. It is likely due to raised intra-peritoneal pressure, strong head movements, and inadequate shunt fixation. The best possible approach to prevent shunt migration would be better patient handling along with appropriate operative techniques.