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Atlanto-axial rotatory fixation complicating ventriculo-peritoneal shunt surgery: a case report and literature review

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Abstract

Introduction

Atlanto-axial rotatory fixation (AARF) is a rare complication of ventriculo-peritoneal shunt (VPS) surgery.

Case presentation

The authors present a unique case of AARF developing early after VP shunting, with persistent torticollis, a “cock-robin” head position, and a thick fibrous band along the catheter path. Due to refractoriness to conservative treatments, AARF, which can be an early-onset complication of VPS surgery, was resolved by removing the distal catheter along with the fibrous band encasing it.

Conclusion

Surgical removal of the fibrous band might be enough to solve such complication with no need of further surgical fusion procedures.

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Author information

Author notes

  1. Costanza Zattra and Marco Paolo Schiariti contributed equally to this work.

Authors and Affiliations

  1. Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, via Giovanni Celoria 11, 20133, Milan, Italy

    Costanza Zattra, Marco Paolo Schiariti, Emanuele La Corte, Morgan Broggi, Francesco Acerbi & Paolo Ferroli

  2. Department of Health Sciences, University of Milan, Milan, Italy

    Emanuele La Corte

Authors
  1. Costanza Zattra
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  2. Marco Paolo Schiariti
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  3. Emanuele La Corte
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  4. Morgan Broggi
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  5. Francesco Acerbi
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  6. Paolo Ferroli
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Corresponding author

Correspondence to Costanza Zattra.

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The authors declare that they have no conflict of interest.

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Informed consent was obtained from the patient and his parents.

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Cite this article

Zattra, C., Schiariti, M.P., La Corte, E. et al. Atlanto-axial rotatory fixation complicating ventriculo-peritoneal shunt surgery: a case report and literature review. Childs Nerv Syst 35, 713–717 (2019). https://doi.org/10.1007/s00381-018-3983-7

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  • DOI: https://doi.org/10.1007/s00381-018-3983-7

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