Migration of a ventricular tapping reservoir into the third ventricle.
The authors present a case of migration of a ventricular tapping system into the third ventricle of a 6-year-old boy who is was born prematurely. As an infant, the patient was treated with serial lumbar punctures for hydrocephalus associated with intraventricular hemorrhage. The patient progressed to requiring a ventricular tapping reservoir and eventually a ventriculoperitoneal shunt. The patient presented for suspected shunt malfunction 4 years after placement of his ventriculoperitoneal shunt, and the migrated ventricular tapping system was discovered. The authors discuss several management strategies that could be used to prevent this complication.
Department of Neurosurgery, University of Oklahoma, Oklahoma City, Oklahoma 73104, USA. william-schueler@ouhsc.edu
William B
WB
Schueler
Timothy B
TB
Mapstone
Naina L
NL
Gross
D002543:Cerebral Hemorrhage / Q000601:surgery; D002648:Child; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D008297:Male; D012086:Reoperation; D020542:Third Ventricle / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt; D014696:Ventriculostomy / Q000009:adverse effects* / Q000295:instrumentation