title: Ventriculo-peritoneal shunt malfunction due to complete migration and subgaleal coiling of the proximal and distal catheters.
abstract: Ventriculo-peritoneal (VP) shunt malfunction due to proximal and distal catheter migration has been rarely reported in the literature. Shunt migration has been proposed to occur as a result of a combination of various mechanisms, including the windlass effect, retained memory of the shunt tubing, inadequate shunt fixation, and increased intra-abdominal pressures. We describe a rare case of a 6-week-old child who presented in our department with VP shunt malfunction due to complete proximal migration and coiling of the peritoneal and ventricular VP shunt catheters within a subgaleal pocket at the left occipital area.
authors.affiliation: Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel.
authors.forename: Stylianos
authors.initials: S
authors.lastname: Pikis
authors.affiliation: Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel.
authors.forename: José E
authors.initials: JE
authors.lastname: Cohen
authors.affiliation: Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel.
authors.forename: Yigal
authors.initials: Y
authors.lastname: Shoshan
authors.affiliation: Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel; Department of Pediatric Neurosurgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. Electronic address: Benifla@hadassah.org.il.
authors.forename: Mony
authors.initials: M
authors.lastname: Benifla
mesh_terms: D057785:Catheters / Q000009:adverse effects*; D004868:Equipment Failure; D005548:Foreign-Body Migration; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D007223:Infant; D020300:Intracranial Hemorrhages / Q000150:complications / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
keywords: Hydrocephalus; Proximal and distal migration; Subgaleal coiling; Ventriculo-peritoneal shunt