A very rare complication of ventriculoperitoneal shunt of cerebrospinal fluid
Hilal Abboud, Abdessamad Elouahabi
The Pan African Medical Journal. 2019;34:127. doi:10.11604/pamj.2019.34.127.9497

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A very rare complication of ventriculoperitoneal shunt of cerebrospinal fluid

Cite this: The Pan African Medical Journal. 2019;34:127. doi:10.11604/pamj.2019.34.127.9497

Received: 30/03/2016 - Accepted: 07/10/2019 - Published: 05/11/2019

Key words: Hydrocephalus, shunt, complication

© Hilal Abboud et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/34/127/full

Corresponding author: Hilal Abboud, Department of Neurosurgery, Ibn Sina Hospital Medical School, Mohamed V University, Rabat, Maroc (abboud.hilal@gmail.com)


A very rare complication of ventriculoperitoneal shunt of cerebrospinal fluid

Hilal Abboud1,&, Abdessamad Elouahabi1

 

1Department of Neurosurgery, Ibn Sina Hospital Medical School, Mohamed V University, Rabat, Maroc

 

 

&Corresponding author
Hilal Abboud, Department of Neurosurgery, Ibn Sina Hospital Medical School, Mohamed V University, Rabat, Maroc

 

 

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Hydrocephalus is defined as an active dilation of cerebral ventricles secondary to a hydro-dynamic disorder of the cerebrospinal fluid (CSF). It is a common condition in pediatric neurosurgery, for which, there are several medical and surgical treatment options. The ventriculoperitoneal shunt (VPS) is the most used method, it consists to drain excess cer-ebrospinal fluid from the ventricles to the peritoneal cavity using a valve. Infection is the most serious complication, it occurs in 10% of cases, other complications can be noted like hemorrhage, hyperdrainage or valve malfunction. We report a rare case of a compli-cated VPS three months after surgery, by a distal catheter externalization on para-spinal level in 6 months patient, who was operated for malformative hydrocephalus, and which benefited on VPS with immediate good outcome. The patient presents to the emergency three months after the establishment of the VPS, she is conscious and afebrile at admis-sion, with a normal cranial perimeter, operative scars are clean, the valve is palpable at the right mastoid and the distal catheter under the skin along its path, the distal tip is ex-ternalized several centimeters through the skin to the right para-spinal level, the VPS is removed. Biochemical and cytobacteriological analysis of the CSF and the ventricular cath-eter did'nt objectify meningitis. A brain CT scan is subsequently conducted to assess the degree of hydrocephalus and decide a ventricular shunt.

 

 

Figure 1: A) The distal tip of catheter externalised on paraveretebral level; B) Externalisation of several centimeters without underlyin collection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Keywords

Hydrocephalus
Shunt
Complication

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