Case Report

Volume: 5 | Issue: 6 | Published: Jun 16, 2021 | Pages: 164 - 168 | DOI: 10.24911/ejmcr/173-1606743811

Complete intracranial migration of ventriculoperitoneal shunt-a rare complication


Authors: Asad Abbas , Farrukh Javeed , Lal Rehman , Sana Akbar , Rabail Akbar , Syed Raza Khairat Rizvi


Article Info

Authors

Asad Abbas

Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

Farrukh Javeed

Department of Neurosurgery, Nottingham University Hospital, Queens Medical Center, UK

Lal Rehman

Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

Sana Akbar

Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

Rabail Akbar

Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

Syed Raza Khairat Rizvi

Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

Publication History

Received: November 30, 2020

Revised: March 27, 2021

Accepted: May 04, 2021

Published: June 16, 2021


Abstract


Background: Ventriculoperitoneal shunt (VPS) is one of the most common procedures for the treatment of hydrocephalus. However, there are a number of complications associated with it. Case Presentation: We aim to present a rare complication of complete intraventricular migration of the VPS system. Our patient was a 12-month-old child who presented 8 months following placement of a right VPS for congenital hydrocephalus. He complained of progressive enlargement of head and vomiting. Examination did not reveal any palpable shunt under the skin on head, neck, or torso. An X-ray showed the presence of the complete shunt coiled within the ventricles. The shunt was removed endoscopically and third ventriculostomy was performed. Conclusion: Complete intracranial migration of VPS is a rare complication and can be avoided by making a small burr hole and careful anchoring of shunt. Trans-cranial endoscope is a useful tool for retrieval in such case and avoid more invasive procedure.

Keywords: Ventriculoperitoneal shunt, intracranial migration, endoscopy, shunt reservoir, green


Pubmed Style

Asad Abbas, Farrukh Javeed, Lal Rehman, Sana Akbar, Rabail Akbar, Syed Raza Khairat Rizvi. Complete intracranial migration of ventriculoperitoneal shunt-a rare complication. EJMCR. 2021; 16 (June 2021): 164-168. doi:10.24911/ejmcr/173-1606743811

Web Style

Asad Abbas, Farrukh Javeed, Lal Rehman, Sana Akbar, Rabail Akbar, Syed Raza Khairat Rizvi. Complete intracranial migration of ventriculoperitoneal shunt-a rare complication. https://ejmcr.com/articles/1308 [Access: November 23, 2024]. doi:10.24911/ejmcr/173-1606743811

AMA (American Medical Association) Style

Asad Abbas, Farrukh Javeed, Lal Rehman, Sana Akbar, Rabail Akbar, Syed Raza Khairat Rizvi. Complete intracranial migration of ventriculoperitoneal shunt-a rare complication. EJMCR. 2021; 16 (June 2021): 164-168. doi:10.24911/ejmcr/173-1606743811

Vancouver/ICMJE Style

Asad Abbas, Farrukh Javeed, Lal Rehman, Sana Akbar, Rabail Akbar, Syed Raza Khairat Rizvi. Complete intracranial migration of ventriculoperitoneal shunt-a rare complication. EJMCR. (2021), [cited November 23, 2024]; 16 (June 2021): 164-168. doi:10.24911/ejmcr/173-1606743811

Harvard Style

Asad Abbas, Farrukh Javeed, Lal Rehman, Sana Akbar, Rabail Akbar, Syed Raza Khairat Rizvi (2021) Complete intracranial migration of ventriculoperitoneal shunt-a rare complication. EJMCR, 16 (June 2021): 164-168. doi:10.24911/ejmcr/173-1606743811

Chicago Style

Asad Abbas, Farrukh Javeed, Lal Rehman, Sana Akbar, Rabail Akbar, Syed Raza Khairat Rizvi. "Complete intracranial migration of ventriculoperitoneal shunt-a rare complication." 16 (2021), 164-168. doi:10.24911/ejmcr/173-1606743811

MLA (The Modern Language Association) Style

Asad Abbas, Farrukh Javeed, Lal Rehman, Sana Akbar, Rabail Akbar, Syed Raza Khairat Rizvi. "Complete intracranial migration of ventriculoperitoneal shunt-a rare complication." 16.June 2021 (2021), 164-168. Print. doi:10.24911/ejmcr/173-1606743811

APA (American Psychological Association) Style

Asad Abbas, Farrukh Javeed, Lal Rehman, Sana Akbar, Rabail Akbar, Syed Raza Khairat Rizvi (2021) Complete intracranial migration of ventriculoperitoneal shunt-a rare complication. , 16 (June 2021), 164-168. doi:10.24911/ejmcr/173-1606743811