[Ventriculo-ureteric shunt without associated nephrectomy for the treatment of hydrocephalus].
The authors report the case of a 51-year-old patient with hydrocephalus following posterior fossa surgery (cerebellar astrocytoma) treated by ventriculo-peritoneal shunt, then ventriculo-atrial shunt. After repeated valve revisions (diffuse peritoneal loculation, intracardiac thrombus responsible for dyspnoea and recurrent pulmonary embolism, shunt infections), another mode of shunting was required. The authors opted for ventriculo-ureteric shunt comprising ureteric reimplantation into a psoas bladder, without associated nephrectomy, which appears to constitute an alternative in the case of difficult surgical management of hydrocephalus or after failure of other modes of ventricular shunting.
Hetet
Jean-François
JF
Clinique Urologique, CHU Hôtel-Dieu, Nantes, France. jfhetet@hotmail.com
Hamel
Olivier
O
Rigaud
Jérôme
J
Karam
Georges
G
Lajat
Youenn
Y
Bouchot
Olivier
O
Le Normand
Loïc
L
D002557:Cerebrospinal Fluid Shunts / Q000379:methods*; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014513:Ureter
Dérivation ventriculo-urétérale sans néphrectomie associée pour hydrocéphalie.