Abstract
The entire length of distal tubing from a ventriculoperitoneal shunt was found to have migrated into the subgaleal space, and resulted in a shunt obstruction. Upward migration of distal shunt catheters has rarely been reported, but probably involves patient motion that creates a “windlass” effect. Cephaled migration requires a potential space (subgaleal or ventricular) and no resistance to movement of the tubing. This complication can be prevented by securing the shunt near the site of motion.
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Garijo JAA, Pecourt JC, Resurreccion M de la (1979) Migration of ventriculo-peritoneal shunt into the lateral ventricle of an adult. Surg Neurol 11:399–400
Mori K, Yamashita J, Handa H (1975) ‘Missing tube’ of peritoneal shunt: migration of the whole system into the ventricle. Surg Neurol 4:57–59
Pang D, Wilberger JE (1980) Upward migration of peritoneal tubing. Surg Neurol 14:363–364
Sayers MP (1975) Shunt complications. Clin Neurosurg 23:393–400
Scott M, Wycis HT, Murtagh F, Reyes V (1955) Observations on ventricular and lumbar subarachnoid peritoneal shunts in hydrocephalus in infants. J Neurosurg 12:165–175
Scott RM (1990) Preventing and treating shunt complications. In: Scott RM (ed) Concepts in neurosurgery. Williams & Wilkins, Baltimore, pp 115–121
Villarejo F, Alvarez-Sastre C, Gimenez D, Gonzalez C (1979) Migration of an entire one-piece shunt into the ventricle. Neurochirurgia (Stuttg) 22:196–198
Young HA, Robb PJ, Hardy DG (1983) Complete migration of ventriculoperitoneal shunt into the ventricle: report of two cases. Neurosurgery 12:469–471
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Heim, R.C., Kaufman, B.A. & Park, T.S. Complete migration of peritoneal shunt tubing to the scalp. Child's Nerv Syst 10, 399–400 (1994). https://doi.org/10.1007/BF00335131
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DOI: https://doi.org/10.1007/BF00335131