Shunt Valve Rupture in Ventriculoperitoneal Shunt Failure.
Blindness
/ etiology
Brain
/ diagnostic imaging
Dandy-Walker Syndrome
/ complications
Equipment Failure
Eye
/ diagnostic imaging
Female
Headache
/ etiology
Humans
Hydrocephalus
/ complications
Recovery of Function
Spinal Puncture
Tomography, Optical Coherence
Tomography, X-Ray Computed
Ventriculoperitoneal Shunt
/ adverse effects
Young Adult
Case report
Hydrocephalus
Optical coherence tomography
Shunt failure
Ventriculoperitoneal shunt
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
23
06
2020
revised:
30
08
2020
accepted:
31
08
2020
pubmed:
12
9
2020
medline:
5
6
2021
entrez:
11
9
2020
Statut:
ppublish
Résumé
Shunt complications are common despite advances in surgical techniques and shunting technology. Proximal and/or distal catheter malfunctions are detected in pediatric and adult patients. However, valve dysfunction is rare in such cases. A 24-year-old woman presented with a history of ventriculostomy and ventriculoperitoneal shunt (VPS) secondary to hydrocephalus concomitant with Dandy-Walker syndrome. She has had undulant headache and vision loss episodes in both eyes for 15 days. Her VPS valve was normal when manually checked, and the VPS was observed as intact on x-ray and computed tomography scan. She had high-grade papilledema in both eyes with an optical coherence tomography scan value of 55/99. Lumbar puncture was performed. Cerebrospinal fluid opening pressure was 560 mm H This case is a very rare example of shunt valve dysfunction that required further investigation and a new valve replacement even though the preoperative imaging was normal.
Sections du résumé
BACKGROUND
Shunt complications are common despite advances in surgical techniques and shunting technology. Proximal and/or distal catheter malfunctions are detected in pediatric and adult patients. However, valve dysfunction is rare in such cases.
CASE DESCRIPTION
A 24-year-old woman presented with a history of ventriculostomy and ventriculoperitoneal shunt (VPS) secondary to hydrocephalus concomitant with Dandy-Walker syndrome. She has had undulant headache and vision loss episodes in both eyes for 15 days. Her VPS valve was normal when manually checked, and the VPS was observed as intact on x-ray and computed tomography scan. She had high-grade papilledema in both eyes with an optical coherence tomography scan value of 55/99. Lumbar puncture was performed. Cerebrospinal fluid opening pressure was 560 mm H
CONCLUSIONS
This case is a very rare example of shunt valve dysfunction that required further investigation and a new valve replacement even though the preoperative imaging was normal.
Identifiants
pubmed: 32916344
pii: S1878-8750(20)32004-0
doi: 10.1016/j.wneu.2020.08.225
pmc: PMC7477608
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
73-76Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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