VP 分流器颅内移位--一种罕见并发症的常规手术!

IF 0.3 Q4 SURGERY
Aman Singh, Awadhesh Yadav, Pritesh Yadav, B. Ojha
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引用次数: 0

摘要

摘要 脑室腹腔分流术是最常见的神经外科手术之一,并发症发生率很高。此外,并发症的多样性也令人吃惊。分流管故障被认为是该手术最常见的并发症,但分流管颅内移位导致故障的情况却极为罕见。我们现在介绍一例 6 个月大的男性患儿,他在 3 个月大时因导水管狭窄伴脑积水而接受了右侧中压脑室腹腔分流术,但由于分流组件发生颅内移位,导致分流术出现故障。脑室腹腔分流管颅内移位是一种极为罕见的并发症。其可能的机理包括腔室的气门下空间过大、毛刺孔过大、分流器组件固定不牢以及术后患儿颈部过度活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cranial Migration of a VP Shunt—A Routine Procedure with a Rare Complication!
Abstract Ventriculoperitoneal shunt is one of the commonest neurosurgical procedures associated with a high-rate complication. Moreover, the variety of complications are nonetheless astonishing. Shunt malfunction is considered the most common complication of this procedure, but a cranial migration of shunt leading to malfunction is extremely rare. We present a case of a 6-month-old male child who was initially managed with a right-sided medium-pressure ventriculoperitoneal shunt for aqueductal stenosis with hydrocephalus at the age of 3 months and presented to us with features of shunt malfunction owing to a cranial migration of the shunt assembly. Cranial migration of a ventriculoperitoneal shunt is an extremely rare complication. Its possible mechanism includes a large subgaleal space for the chamber, larger size burr hole, inadequate anchorage of the shunt assembly, and excessive neck movements of the child in the postoperative procedure.
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
52
审稿时长
12 weeks
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