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Late intrathecal retraction of a lumboperitoneal shunt.
Kim, Young Ju; Fujita, Atsushi; Maeyama, Masahiro; Hori, Tatsuo; Tanaka, Kazuhiro; Sasayama, Takashi.
Afiliación
  • Kim YJ; Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
  • Fujita A; Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
  • Maeyama M; Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
  • Hori T; Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
  • Tanaka K; Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
  • Sasayama T; Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Surg Neurol Int ; 14: 417, 2023.
Article en En | MEDLINE | ID: mdl-38213441
ABSTRACT

Background:

Lumboperitoneal (LP) shunt placement is a good option for treating elderly patients with communicating normal pressure hydrocephalus (NPH) who are also on antiplatelet therapy following endovascular treatment of unruptured bilateral internal carotid artery aneurysms. Here, in an 80-year-old male with an LP shunt, the catheter was "pinched" between adjacent spinous processes, resulting in laceration of the catheter and intrathecal catheter migration. Case Description An 80-year-old male was treated with a LP shunt for NPH 1 year after undergoing endovascular treatment of unruptured bilateral internal carotid artery aneurysms. The lumbar catheter was placed at the L2-3 level. Six months later, when he clinically deteriorated, the follow-up computed tomography showed recurrent ventricular enlargement. Further, studies additionally confirmed intrathecal migration of the lumbar catheter, warranting secondary ventriculoperitoneal shunt placement.

Conclusion:

Patients with LP shunts may develop lumbar catheter lacerations secondary to a "pinching" effect from adjacent spinous processes, resulting in intrathecal catheter migration.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Surg Neurol Int Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Surg Neurol Int Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos