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Malfunctioning ventriculoperitoneal shunts

Clinical and pathological features

Laligam N. Sekhar, John Moossy, and A. Norman Guthkelch

. Dev Med Child Neurol Suppl 20 : 42 – 48 , 1969 Hakim S: Observations on the physiopathology of the CSF pulse and prevention of ventricular catheter obstruction in valve shunts. Dev Med Child Neurol Suppl 20: 42–48, 1969 11. Hammon WM : Evaluation and use of the ventriculoperitoneal shunt in hydrocephalus. J Neurosurg 34 : 792 – 795 , 1971 Hammon WM: Evaluation and use of the ventriculoperitoneal shunt in hydrocephalus. J Neurosurg 34: 792–795, 1971 12. Hoffman HJ , Hendrick EB , Humphreys

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Michael J. Weidmann

O nly five cases of cerebrospinal fluid (CSF) ascites have been reported previously. The present case involves ascites resulting from a ventriculoperitoneal shunt. Case Report This baby girl was born on May 13, 1974, after a difficult forceps delivery due to obstructed labor; the pregnancy had been normal. Head circumference at birth was 40.5 cm, and had increased to 43 cm by 1 week. The child had no other abnormalities. Air ventriculograms revealed a severe obstructive hydrocephalus with a cerebral mantle of 5 mm. Ten days after birth, a Pudenz

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Junya Hanakita, Takanori Suzuki, Yoshisuke Yamamoto, Yuji Kinuta, and Kiyoshi Nishihara

. References 1. Gast MJ , Grubb RL Jr , Strickler RC : Maternal hydrocephalus and pregnancy. Obstet Gynecol 62 (Suppl) : 29S – 31S , 1983 Gast MJ, Grubb RL Jr, Strickler RC: Maternal hydrocephalus and pregnancy. Obstet Gynecol 62 (Suppl): 29S–31S, 1983 2. Howard TE Jr , Herrick CN : Pregnancy in patients with ventriculoperitoneal shunts: report of two cases. Am J Obstet Gynecol 141 : 99 – 101 , 1981 Howard TE Jr, Herrick CN: Pregnancy in patients with ventriculoperitoneal shunts

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Harold D. Portnoy and Paul D. Croissant

W e are reporting two unusual complications that occurred during the insertion of a ventriculoperitoneal shunt. Case Report A 66-year-old woman was originally admitted to the hospital on September 24, 1972. She had fallen down a flight of stairs and was found unconscious. In the emergency room she was stuporous and without localizing neurological findings. There was a contusion in the left parietal region and a right otorrhea. Skull films revealed a linear left parietal fracture. Her state of consciousness improved, and the otorrhea ceased within 48

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Ápio C. M. Antunes and Telmo R. Ribeiro

A : Spontaneous extrusion of the abdominal tube through the umbilicus complicating peritoneal shunt for hydrocephalus. Case report. J Neurosurg 38 : 758 – 760 , 1973 Adeloye A: Spontaneous extrusion of the abdominal tube through the umbilicus complicating peritoneal shunt for hydrocephalus. Case report. J Neurosurg 38: 758–760, 1973 2. Grosfeld JL , Cooney DR : Inguinal hernia after ventriculoperitoneal shunt for hydrocephalus. J Pediatr Surg 9 : 311 – 315 , 1974 Grosfeld JL, Cooney DR

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Gay M. Guzinski, William J. Meyer, and John D. Loeser

laparoscope was withdrawn, the new catheter was inserted into the peritoneal cavity through the periumbilical incision. Fig. 1. Case 3. Abdominal radiograph and diagram showing the intraperitoneal location of the ventriculoperitoneal shunt catheter (arrows) . Case 4 This 2-year-old girl was admitted with a history of increasing signs and symptoms of obstruction of her VP shunt, which had been in place since 1 week of age. An abdominal radiograph showed disconnection of the intraperitoneal shunt catheter. Because of the small size of this patient, great

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Carl E. Clarke, Kamal S. Paul, and Richard H. Lye

. Ureter compression by the peritoneal catheter of a lumbar subarachnoid-peritoneal shunt was observed by Sullivan, et al. 16 In their patient, the site of obstruction was where the catheter crossed the ureter, and resolution of the hydronephrosis followed shortening of the peritoneal tubing. However, as far as we are aware, ureter obstruction caused by the peritoneal catheter of a ventriculoperitoneal shunt system has not been described previously. Opinion varies as to the ideal length of peritoneal catheter which should be inserted into the abdomen. Usually, 25 to

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C. D. Patel and Hani Matloub

D uring the last 5 years, we have treated 70 cases of hydrocephalus by ventriculoperitoneal shunt. Vaginal perforation with subsequent meningitis was a serious complication in one case. No similar complication has been reported. Case Report A newborn baby girl underwent repair of a large lumbar myelomeningocele, followed a few weeks later by ventriculoatrial shunt for hydrocephalus. After 7 months, as a result of obstruction at the atrial end, the shunt was converted into a ventriculoperitoneal shunt with a Pudenz valve and a Raimondi catheter; 4 months

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Arthur M. Gerber

M : Personal communication , 1976 Rayport M: Personal communication, 1976 7. Sakoda TH , Maxwell JA , Brackett CE Jr : Intestinal volvulus secondary to a ventriculoperitoneal shunt. Case report. J Neurosurg 35 : 95 – 96 , 1971 Sakoda TH, Maxwell JA, Brackett CE Jr: Intestinal volvulus secondary to a ventriculoperitoneal shunt. Case report. J Neurosurg 35: 95–96, 1971 8. Scott M , Wycis HT , Murtagh F , et al : Observations on ventricular and lumbar subarachnoid

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Philip E. Keen and Stanley Weitzner

V entriculoperitoneal shunts for treatment of hydrocephalus offer potentially fewer serious complications than ventriculocardiac shunts, provided catheter potency can be maintained. 1, 3 Significant abdominal complications with this procedure have occurred, however, including intestinal volvulus and obstruction, 5 perforation of the bowel, 6 and abdominal cysts. 2 To the best of our knowledge, this is the first report of an inflammatory pseudotumor of the mesentery as a complication of a ventriculoperitoneal shunt. Case Report A 31-month-old Spanish