Bilateral sixth cranial nerve palsy following lumboperitoneal shunt

IF 1.2 4区医学 Q4 CLINICAL NEUROLOGY

Neurosciences Pub Date : 2022-07-01 DOI:10.17712/nsj.2022.3.20210140

Ibrahim A. Alhalal, Hashem T. Al-Salman, A. A. Anazi

引用次数: 0

Abstract

Lumboperitoneal (LP) shunt is considered as a unique procedure in neurosurgical practice. The over drainage of Cerebrospinal fluid (CSF) is considered a usual side effect of the procedure that usually manifests in the form of subdural collection, headache, or nausea and vomiting. However, cranial nerve palsy, particularly abducens nerve palsy, is a rare manifestation of CSF over drainage. We describe our experience with a patient that has developed bilateral sixth nerve palsy followed by LP shunt insertion, with resolution of the symptoms upon removal of the shunt. This shades the light on a rare but significant complication related to Lumboperitoneal (LP) shunt insertion that necessitate the modification in the hardware of valve or insertion technique to decrease the risk of CSF over the drainage.

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腰骶管分流术后双侧第六脑神经麻痹

腰椎分流术被认为是神经外科手术中一种独特的手术方式。脑脊液过度引流被认为是该手术的常见副作用，通常表现为硬膜下积液、头痛或恶心呕吐。然而，颅神经麻痹，特别是外展神经麻痹，是脑脊液过度引流的罕见表现。我们描述了一名患者的经历，该患者在植入LP分流器后出现双侧第六神经麻痹，并在移除分流器后症状得到缓解。这掩盖了一种罕见但重要的并发症，该并发症与腰大动脉（LP）分流术插入有关，需要对瓣膜硬件或插入技术进行修改，以降低CSF在引流过程中的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurosciences 医学-临床神经学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

4.5 months

期刊介绍： Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.