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Case Report

Rare Complications of VP Shunt Surgery Resulting in Significant Morbidity and Mortality: Report of Four Cases and Review of the Literature

Bipin Chaurasia , Nazmin Ahmed1 , Bipin Chaurasia2 , Narendra Shalike3 , Mohammad Samsul Arifin4 , Manwar Hossain5

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International Journal of Neurology and Neurosurgery 11(4):p 293-301, October-December 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.11419.5

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Nazmin Ahmed, Bipin Chaurasia, Narendra Shalike et al. Rare Complications of VP Shunt Surgery Resulting in Significant Morbidity and Mortality: Report of Four Cases and Review of the Literature. Int J Neurol Neurosurg. 2019;11(4):293–301.

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Abstract

Ventriculoperitoneal Shunt surgery is a common neurosurgical procedure comprises a long list of postoperative complications. Among them, common complications like shunt infection, obstruction, overdrainage or underdrainge, subdural hematoma or hygromas are reviewed extensively in the previous literature.1 With the course of time, improved surgical and technical skill, use of programmable valves, antibiotic impregnated catheters, attempt to improve nutritional status of the child before placement of shunt reduces significant shunt related morbidities. Despite all these precautions and techniques there are some rare complications of this surgery which can leads to catastrophic outcome. In this case series we reported four rare complications of VP shunt surgery and reviewed the previously reported literature. We also focused on the possible risk factors, pathophysiology of each complications so that meticulous attention can be given to prevent these complications to improve surgical outcome.

Keywords: VP shunt; Calcified extradural hematoma; Intracerebral hemorrhage; Ascities, Pseudocyst, SEGA

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Nazmin Ahmed, Bipin Chaurasia, Narendra Shalike et al. Rare Complications of VP Shunt Surgery Resulting in Significant Morbidity and Mortality: Report of Four Cases and Review of the Literature. Int J Neurol Neurosurg. 2019;11(4):293–301.

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DOI: DOI: http://dx.doi.org/10.21088/ijnns.0975.0223.11419.5

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