Repeat fracture of shunts in ventriculoperitoneal shunting with pelvic migration: An African teen case report with literature review

J, Alain; Oumarou, Blondel Nana; Adoum, Mahamat; Abogo, S; Nomo, Serge Nga; Chewa, G

doi:10.1016/j.inat.2021.101381

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…The initial condition of the child, loco-regional or remote pathology: pneumopathy or ENT (Ear-Nose-Throat) infection, rash skin lesion around surgical sites, malnutrition, cranial perimeter +4SD (standard deviations) as sometimes observed during the study, are possible contributing factors to the occurrence of complications. We did not pooled any shunts fracture during the study as noticed by Jibia and al (2021) [12]. Santos MM et al (Tanzania, 2017) identified 3 risk factors for early surgical complications: tumour aetiology related to hydrocephalus, a large cranial perimeter and long postoperative hospital stays [13].…”

Section: Discussionmentioning

confidence: 97%

Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit

J¹,

Broalet²,

Tetchi³

et al. 2021

IJN

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Complications of ventriculoperitoneal shunting in hydrocephalus cure are countless and well known nowadays; depending on several factors. They are all more so screened in children whom are vulnerable and growing; more again in sub-Saharan area, suggesting a close follow-up and a paid attention on family balance. We emphasised on this surgical and social challenge to analyse the experience of a paediatric neurosurgical unit. A retrospective study has been performed to determine statistical data over 13 years of our practice in sub-Saharan hospital area, referring to international recommendations. It was of above 90 complications collected in 62 patients over 302 children operated, 20.52%. Complications were mechanic (58) and infectious (32). The mean age of appearance was 2 years 8 months, with an average of 6 months of follow-up. Malformative aetiologies were of 4 over 5 children, 80.65% and more than half were non-obstructive, 58%. The complications were unique, multiple or associated. The treatment was mainly surgical 88.7% on several modes. Sixteen children deceased during the study period. Post-shunting complications are the source of a compromised functional or even vital prognosis, sometimes in a psychosocial stress or low feel. The challenge in sub-Saharan area remains the efficient management of complications with limited resources or a sociocultural family uncertainty. Perioperative prevention must be the master words.

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Section: Discussionmentioning

confidence: 97%

Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit

J¹,

Broalet²,

Tetchi³

et al. 2021

IJN

Self Cite

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Fracture into the Abdominal Cavity and the Presence of A Retroauricular Pseudocyst Are Diagnostic of A Partial Ventriculoperitoneal Shunt Dysfunction

Bal’afif,

Wibowo,

Nazwar

et al. 2024

Acta Medica Bulgarica

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Ventriculoperitoneal shunt malfunction is frequently observed, with the ventriculoperitoneal shunt fracture being a prevalent etiology. The occurrence of ventriculoperitoneal shunt malfunction is approximately 40% in the first year after implantation and increases to 50% in the second year. Ventriculoperitoneal shunt fracture accounts for 15% of total ventriculoperitoneal shunt malfunction incidents. Ventriculoperitoneal shunt fractures commonly occur due to calcification, immune reactions, and abrasions. The report describes a 5-year-old child who exhibited ventriculoperitoneal shunt malfunction based on clinical examination and CT scan findings. The patient presented with fever and pain in the postoperative wound located posteriorly to the left ear. Radiographic imaging of the cranium and thoracoabdominal region revealed the presence of a ventriculoperitoneal shunt fracture and a C5 spinal disconnection. Additionally, it was demonstrated that the distal catheter had relocated to the abdominal cavity. The laboratory examination and cerebrospinal fluid analysis yielded normal results. The fractured ventriculoperitoneal shunt was subsequently removed and replaced with a new one. It is important to thoroughly investigate and comprehend ventriculoperitoneal shunt malfunctions, even during routine follow-ups.

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Repeat fracture of shunts in ventriculoperitoneal shunting with pelvic migration: An African teen case report with literature review

Cited by 2 publications

References 9 publications

Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit

Complications of Ventriculo-peritoneal Shunting: 13 Years of Experience in a Sub-saharan Paediatric Neurosurgery Unit

Fracture into the Abdominal Cavity and the Presence of A Retroauricular Pseudocyst Are Diagnostic of A Partial Ventriculoperitoneal Shunt Dysfunction

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