Spontaneous Extrusion of Ventriculoperitoneal Shunt Catheter through the Right Lumbar Region: A Case Report and Review of the Literature

Oktay, Kadir; Erkoç, Yavuz Selim; Ethemoğlu, Kadri Burak; Olguner, Semih Kıvanç; Saraç, Mustafa

doi:10.1159/000439353

Cited by 10 publications

(2 citation statements)

References 11 publications

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“…Patients may present symptoms with headache, lethargy, nausea, or vomiting due to catheter obstruction, as well as fever in the infected ones [4,9]. Besides the common complications mentioned, rare cases associated with VP shunt migration, malpositioning, or have been reported [6,[9][10][11][12]. These rare complications can be encountered either in the immediate post-operative period or during a follow-up appointment [9].…”

Section: Discussionmentioning

confidence: 99%

Successful Ultrasound-Guided Superficial Cervical Plexus Block Treatment for Head and Neck Pain with an Unusually Delayed Onset Following Ventriculoperitoneal Shunt: A Case Report

Hu,

Huang,

Tsai

et al. 2023

Medicina

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Background and Objectives: Ventriculoperitoneal (VP) shunt placement is the most common treatment for cerebrospinal fluid diversion. Head and neck pain occurring after a long period following VP shunt insertion is rarely reported. Here, we present a rare case of head and neck pain occurring 2 years after surgery due to irritation of the superficial cervical plexus by the VP shunt. Case Description: A 46-year-old female patient received VP shunt placement surgery. Two years after the surgery, she experienced a left temporal headache with neck pain on the left side, which extended to the left para-auricular and fascial region. Ultrasound (US) scanning revealed that the VP shunt passed within the superficial cervical fascia and through the left sternocleidomastoid muscle (SCM). Additionally, friction of the branches of the superficial cervical plexus and of the greater auricular and lesser occipital nerves caused by the VP shunt was found underneath the lateral border of the SCM. Subsequently, the blocking and hydro-release of the left superficial cervical plexus were performed. After four series of treatments, the patient’s head and neck pain vanished, and the frequency of the headaches was substantially reduced. The patient was regularly followed-up in the outpatient department of neurosurgery. Conclusions: Head and neck pain caused by the malpositioning of a VP shunt catheter with an unusually delayed onset is a rarely reported complication and could be easily neglected. Patients with head and neck pain following VP shunt insertion should be checked using US scanning to identify the potential origin of the pain and receive adequate treatments. Intraoperative US-guided tunnelling is suggested to avoid the malpositioning of the VP shunt catheter.

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Section: Discussionmentioning

confidence: 99%

Successful Ultrasound-Guided Superficial Cervical Plexus Block Treatment for Head and Neck Pain with an Unusually Delayed Onset Following Ventriculoperitoneal Shunt: A Case Report

Hu,

Huang,

Tsai

et al. 2023

Medicina

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“…21 In addition to the breast, distal catheters have migrated to the lateral ventricles, scalp, oral cavity, pulmonary artery, lung parenchyma, bronchial tree, heart, neck, chest wall, diaphragm, umbilicus, abdominal wall, intestines, gallbladder, vagina, scrotum, and anus. 4,5,8,13,17,19,38,39 A myriad of hypotheses have been proposed to explain catheter migration and coiling, including vigorous manipulation of the breast, traction on the catheter by the breast implant capsule, 21 increased intraabdominal pressure (from cough, strain, exercise, constipation, or abdominal pseudocyst), 4 a calcified part of the catheter acting as an anchoring point to the abdominal wall, vigorous rotation or flexion-extension movements of the head, and retained memory of the shunt material for its coiled shape in its original packaging. 6,38 Breast implant rotation likely contributes to the wrapping of the catheter around the implant itself.…”

Section: Discussionmentioning

confidence: 99%

Treatment Strategies of Complications of Breast Implants Associated With Ventriculoperitoneal Shunts

Ordenana

Alleyne²,

Isakov³

et al. 2020

Ann Plast Surg

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Breast augmentation is among the most commonly performed cosmetic procedures in the United States. As these patients age or develop comorbidities, surgeons across many other disciplines will inevitably encounter these patients in their own practices. Consequently, surgeons must be aware of the potential interactions between breast implants and devices commonly used in their fields. This case, the second of its kind encountered by our own department, describes a woman who suffered one such interaction: migration and coiling of a ventriculoperitoneal shunt around her breast implant. A systematic review was conducted to characterize breast-related ventriculoperitoneal shunt complications reported in the literature and generate an algorithm for management of the most commonly reported scenarios. Recognition of potential complications will aid surgeons in appropriate operative planning and prevention of these adverse events.

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Management of exposed ventriculoperitoneal shunt on the scalp in pediatric patients

Akdağ

2018

Childs Nerv Syst

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Spontaneous Extrusion of Ventriculoperitoneal Shunt Catheter through the Right Lumbar Region: A Case Report and Review of the Literature

Cited by 10 publications

References 11 publications

Successful Ultrasound-Guided Superficial Cervical Plexus Block Treatment for Head and Neck Pain with an Unusually Delayed Onset Following Ventriculoperitoneal Shunt: A Case Report

Successful Ultrasound-Guided Superficial Cervical Plexus Block Treatment for Head and Neck Pain with an Unusually Delayed Onset Following Ventriculoperitoneal Shunt: A Case Report

Treatment Strategies of Complications of Breast Implants Associated With Ventriculoperitoneal Shunts

Management of exposed ventriculoperitoneal shunt on the scalp in pediatric patients

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