Proximal migration of a lumboperitoneal unishunt system

Rodrigues, Desiderio; Nannapaneni, Ravindra; Behari, Sanjay; Prasad, Mani Bhushan; Herwadkar, Amit; Gerber, Christian; Mitchell, Philip

doi:10.1016/j.jocn.2004.11.009

Cited by 12 publications

(15 citation statements)

References 16 publications

(5 reference statements)

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“…Some advocate the use of a LP shunt that incorporates a reservoir.Others have placed a connector between the peritoneal and the lumbar spinal tube. 3 This can provide a more secure way in preventing displacement of peritoneal tube and eventual intra spinal shunt migration. Recently, programmable LP shunts have been used.…”

Section: Discussionmentioning

confidence: 99%

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Proximal Migration of Lumboperitoneal Shunt Catheter Up To Cervical Spine

et al. 2019

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Lumboperitoneal (LP) shunt had been in use as an internal cerebrospinal fluid (CSF) diversion for a variety of different indications, namely benign intracranial hypertension, communicating hydrocephalus, slit ventricle syndrome and CSF fistulas.Generally, considered to be a simple surgical procedure, butcertain potential complications are associated with this technique, including chronic subdural hematoma, subarachnoid hemorrhage, acquired Chiari malformations and migration of the shunt tubing. 1,2 Proximal intrathecal migration of LP shunt catheter tip, high up in the cervical spine is a rare reported complication. [3][4][5][6][7][8] If doubtful on X-rays, Computed Topography (CT) scan confirms the diagnosis. Although, the multi factorial's proximal migration is usually because of a faulty technique when anchoring sutures are loosened or cut. The measures employed to avoid this potential complication include appropriate techniques for securing the LP shunt tube at the proximal lumbar and the distal peritoneal insertion sites with suture collars, thus enabling fixation of the tube. We report a case of an obese middle age female who developed proximal migration of the lumbar tube up to the cervical spine, after having undergone LP shunt for pseudotumor cerebri.

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Section: Discussionmentioning

confidence: 99%

“…1,2 Proximal intrathecal migration of LP shunt catheter tip, high up in the cervical spine is a rare reported complication. [3][4][5][6][7][8] If doubtful on X-rays, Computed Topography (CT) scan confirms the diagnosis. Although, the multi factorial's proximal migration is usually because of a faulty technique when anchoring sutures are loosened or cut.…”

mentioning

confidence: 99%

Proximal Migration of Lumboperitoneal Shunt Catheter Up To Cervical Spine

et al. 2019

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“…Current trends favor the use of neuroendoscopic or open surgical fenestration for obviating shunt-related complications. In a recent paper from our institution we insisted on two facts [ 84 ]. First, many arachnoid cysts merely constitute incidental discoveries and need only clinical observation.…”

Section: Arachnoid Cystsmentioning

confidence: 99%

“…The availability of modern neuroimaging tools and concerns about the large size of some arachnoid cysts has led to overtreatment of patients who perhaps should have never been shunted [ 84 ]. Criteria for success of arachnoid-cyst shunting consist of achieving alleviation of the patient's symptoms and not of the total resolution of the cyst on imaging.…”

Section: Arachnoid-cyst Shuntingmentioning

confidence: 99%

Complications of CSF Shunting in Hydrocephalus

Rocco

Turğut

Jallo³

et al. 2015

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“…Complications due to overdrainage could be prevented by introducing a pressure control valve for the LP shunt (Wang et al, 2007). Proximal migration of LP shunts have been reported (Yoshida et al, 2000, Satow et al, 2001, Rodrigues et al, 2005. Defects in the fixation device or increased intraabdominal pressure are believed to be a cause of proximal migration of the LP shunt.…”

Section: Lumboperitoneal Shunt (Lp Shunt)mentioning

confidence: 99%