Subgaleal migration of a ventriculoperitoneal shunt.
Blockage of a ventriculoperitoneal (VP) shunt is very common. Here, we describe an unusual case of shunt blockage in an infant. He was shunted for hydrocephalus associated with a Dandy-Walker malformation diagnosed at birth. At surgery, the entire VP shunt was found to have migrated into the subgaleal space, which clinically presented as shunt obstruction. We suggest techniques to avoid this rare, but preventable, complication of shunt surgery.
Al Hinai
Qasim S
QS
The National Neurosurgery Centre, Khoula Hospital, Ministry Of Health, Post Box 90, Postal Code 116, Mina Al Fahal, Muscat, Sultanate Of Oman.
Pawar
Sanjay J
SJ
Sharma
Rewati Raman
RR
Devadas
R V
RV
D003616:Dandy-Walker Syndrome / Q000601:surgery; D005548:Foreign-Body Migration / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007223:Infant; D008297:Male; D011475:Prosthesis Failure; D014057:Tomography, X-Ray Computed / Q000379:methods; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects* / Q000379:methods