title: Overdrainage Secondary to Ventriculosinus Shunt.
abstract: BACKGROUND
  Shunting to the cranial venous sinus represents a novel treatment strategy for hydrocephalus. To our knowledge, overdrainage as a complication after shunting to the cranial venous sinus has not previously been reported in the clinical literature. Here we report the case of a 50-year-old man who suffered from overdrainage after a ventriculosinus shunt insertion.
  
  
  METHODS
  A 50-year-old man was admitted to our hospital with recurring fever and gait difficulty 4 months after a ventriculoperitoneal shunt (VPS) insertion for primary communicating hydrocephalus. Cerebrospinal fluid cultures were positive. The previous VPS was removed, and after successful antibiotic treatment evidenced by repeated negative cerebrospinal fluid (CSF) cultures, we performed a ventriculosinus shunt operation. A postoperative computed tomography scan of the head showed an excessively contracted ventricular system, subdural hemorrhage, and effusion, indicating the occurrence of overdrainage.
  
  
  CONCLUSIONS
  Ventriculosinus shunt surgery is a feasible and reliable option for the treatment of hydrocephalus, especially for cases of failed VPS. However, there remains a risk of overdrainage occurring postsurgery, and this should be taken into consideration in clinical practice.
authors.affiliation: Department of Neurosurgery, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, China. Electronic address: Zhty1002@126.com.
authors.forename: Tianyuan
authors.initials: T
authors.lastname: Zhao
authors.affiliation: Department of Neurosurgery, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Ouyang
authors.affiliation: Department of Neurosurgery, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, China.
authors.forename: Shaobing
authors.initials: S
authors.lastname: Wang
authors.affiliation: Department of Neurosurgery, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, China.
authors.forename: Peitao
authors.initials: P
authors.lastname: Wu
mesh_terms: D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D006408:Hematoma, Subdural / Q000209:etiology; D006801:Humans; D006849:Hydrocephalus / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
keywords: Hydrocephalus; Overdrainage; Ventriculosinus shunt