Complications after shunting isolated IV ventricles

Eder, Hans G.; Leber, K.; Gruber, Wilfried

doi:10.1007/s003810050031

Cited by 42 publications

(35 citation statements)

References 21 publications

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“…10,12,24,25 The development of 6th and 7th cranial nerve palsies has been attributed to the catheter in the fourth ventricle; however, this appears unlikely. 12,24,25 The development of bulbar disturbance and tetraparesis is reminiscent of one pattern of presentation of Chiari I malformation. 26 Hydrocephalus is occasionally seen in Chari I and is relieved by decompression, which indicates that the obstruction is functional rather than due to scarring.…”

Section: Discussionmentioning

confidence: 95%

Cranio-cervical decompression and expansile duroplasty for isolated fourth ventricle in a patient with Chiari II malformation

Banh¹,

Brophy²

2013

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 95%

Cranio-cervical decompression and expansile duroplasty for isolated fourth ventricle in a patient with Chiari II malformation

Banh¹,

Brophy²

2013

Journal of Clinical Neuroscience

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“…A similarly high complication rate related to proximal catheter malposition during cystoperitoneal shunting of posterior fossa, cysts has been described by Eder et al [5]. In their review of 5 patients with isolated fourth ventricles treated with shunts, 2 of the patients required revision because of new cranial neuropathies attributed to brainstem irritation by the proximal catheter.…”

Section: Discussionmentioning

confidence: 94%

Endoscopic-Guided Proximal Catheter Placement in Treatment of Posterior Fossa Cysts

Sandberg¹,

Souweidane²

1999

Pediatr Neurosurg

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Purpose: Treatment of posterior fossa cysts by cystoperitoneal shunting may be complicated by a malpositioned proximal catheter located within the brainstem or cerebellum causing acute shunt malfunction or neurological deficits. We propose that proximal catheter placement from a posterior fossa approach aided by a malleable endoscope may prevent malposition and its complications. Methods: We present 4 procedures we performed on 3 patients with posterior fossa cysts using a posterior fossa approach. In each case, the proximal catheter was molded along with a malleable endoscope to place the catheter parallel to the long axis of the fourth ventricle. Direct visualization during catheter placement insured an intracavitary position. Results: Ultimately, the procedure was successful in all 3 patients as judged by intracavitary catheter position and decrease in cyst size on postoperative imaging. In 1 patient, revision using the same technique was required based upon suboptimal catheter position within one of numerous cystic compartments within the posterior fossa. There were no complications related to direct or indirect brainstem injury. Conclusions: Many posterior fossa cysts can be treated effectively and safely via a posterior fossa approach with the aid of a malleable endoscope. Direct visualization facilitates intracavitary catheter placement and orientation of the catheter in the long axis of the cyst, thereby decreasing the risk of injury to surrounding structures.

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“…6,8,9 Closure of Magendi and Luschka foramina and aqueduct of Sylvius leads to the accumulation of CSF in the fourth ventricle and thereby enlargement. Slit ventricle may also causes aqueductal stenosis.…”

Section: Discussionmentioning

confidence: 99%

Cranial Nerve Involvement as a Complication of Ventriculoperitoneal Shunt

Keshtkar

Malekpour

2006

Neurosurgery Quarterly

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Isolated fourth ventricle is a rare complication of ventriculoperitoneal shunt insertion in patients with hydrocephalus. Fourth ventriculoperitoneal shunt is the main treatment for patients with symptomatic isolated fourth ventricle. Cranial nerves involvement is rarely seen after shunt insertion in the fourth ventricle. We report a patient who developed delayed fifth, sixth, and seventh cranial nerves deficit after the insertion of shunt in his fourth ventricle. The cause most probably was owing to delay penetration of stem by the tip of the ventricular catheter after decrease in volume of the patient's fourth ventricle. We revised the shunt and shortened the ventricular end. The patient's condition improved significantly.

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Complications after shunting isolated IV ventricles

Cited by 42 publications

References 21 publications

Cranio-cervical decompression and expansile duroplasty for isolated fourth ventricle in a patient with Chiari II malformation

Cranio-cervical decompression and expansile duroplasty for isolated fourth ventricle in a patient with Chiari II malformation

Endoscopic-Guided Proximal Catheter Placement in Treatment of Posterior Fossa Cysts

Cranial Nerve Involvement as a Complication of Ventriculoperitoneal Shunt

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