Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
International Journal of Neurology and Neurosurgery

Volume  9, Issue 1, January - June 2017, Pages 41-44
 

Case Report

Retrograde Partial Migration of Ventriculo-Peritoneal Shunt With its Chamber: Review of Causative Factors and Its Prevention

Harsha A. Huliyappa*, Manish Jaiswal**, Sunil Kumar Singh***, Bal Krishna Ojha****, Anil Chandra***, Chhitij Srivastava*****

*Assistant Professor, Department of Neurosurgery, J.S.S. Medical College & University, Mysuru, Karnataka, India. **Assistant Professor ***Professor ****Professor & Head *****Additional Professor, Department of Neurosurgery, King George’s Medical Un

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.9117.7

Abstract

 Distal migration of shunt is a very common occurrence. Proximal migration of shunt is rare and possible pathophysiological mechanisms to explain this unusual complication is rarely attempted. A 5-month-old child shunted for posttraumatic hydrocephalus presented 1.5 years later with raised intracranial pressure (ICP) and seizures. Imaging showed subdural hygroma, partial intracranial migration of shunt / chamber. On endoscopy, choroid plexus was adherent to shunt tip and some pericranial tissue was found in the anchoring suture(intraventricularly displaced). Endoscopic retrieval of migrated shunt along with CSF diversion was established by endoscopic third ventriculostomy (ETV) with symptoms free follow-up. Hostrelated and surgical factors have been postulated. Tug-of – tie effect on the anchoring suture and collapsing cortex are the possible mechanisms that explain proximal migration in our case. Three-point fixation of the chamber to pericranium, small burr hole with a smaller durotomy, can prevent shunt migration. Proximal Shunt migrations should be dealt with endoscopy so as to avoid complications.

Keywords: Shunt Chamber Migration; Neuroendoscopy; V-P Shunt; ETV.


Corresponding Author : Manish Jaiswal**