title: Migration and coiling of peritoneal catheter into the subgaleal space: a very rare complication of subgaleoperitoneal shunt.
abstract: Upward migration of the peritoneal catheter of a subgaleo-peritoneal (SP) shunt and coiling into the subgaleal space is an extremely rare complication of a SP shunt. A 32-year-old male patient visited our hospital presenting with a large skull defect due to a prior craniectomy performed elsewhere. The patient underwent a cranioplasty with methylmetacrylate, but subsequently developed progressive pseudomeningocele and subgaleal cerebrospinal fluid (CSF) collection. The patient underwent CSF diversion via a SP shunt. After SP shunting, the pseudomeningocele disappeared completely. Six months later, the patient presented with progressive scalp swelling. Skull X-ray showed migration and coiling of the distal catheter of the SP shunt. The patient was treated by removing the entire shunt catheter and the dura was covered with a subgaleal flap. We would like to report our experience with a very rare complication of subgaleo-peritoneal shunting.
authors: Department of Neurosurgery, Gil Medical Center, Gachon University, Incheon, Korea.
authors: Gi-Taek
authors: GT
authors: Yee
authors: Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea.
authors: Seong-Rok
authors: SR
authors: Han
authors: Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea.
authors: Chan-Young
authors: CY
authors: Choi
keywords: Migration; Pseudomeningocele; Subgaleo-peritoneal shunt