A rare complication of subdural-peritoneal shunt: Migration of catheter components through the pelvic inlet into the subdural space

ÇAKIR M., Yilmaz A., Çalikoǧlu Ç.

Journal of Pediatric Neurosciences, cilt.12, sa.2, ss.162-164, 2017 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 12 Sayı: 2
  • Basım Tarihi: 2017
  • Doi Numarası: 10.4103/jpn.jpn_180_16
  • Dergi Adı: Journal of Pediatric Neurosciences
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.162-164
  • Anahtar Kelimeler: Pelvic migration, shunt migration, subdural effusion, subdural migration, subdural-peritoneal shunt
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

Subdural-peritoneal (SP) shunting is a simple procedure to treat subdural hygromas; however, several rare complications such as shunt migration exist. A 15-year-old boy presented with headache, nausea, and vomiting , and underwent SP shunting for left frontoparietal chronic subdural effusion. Six weeks later, radiographic examinations revealed total migration of the shunt through the pelvic inlet. The migrated shunt was replaced with a new SP shunt. Four weeks later, radiographic examinations revealed shunt migration into the subdural space. The shunt catheter was removed and the subdural effusion was evacuated. Shunt migration may result from pressure differences between the abdomen and the cranium or from head movement, and insufficient fixation and/or large burr holes can facilitate shunt migration. Double firm anchoring and small-sized burr holes can prevent this complication. SP shunt is a simple procedure, and its assumed complications can be prevented through precaution.