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A long-term complication of burying a shunt valve in the skull

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Abstract

One of the most common causes of shunt malfunction is infection; a major contributing factor to this infection in neonates is scalp necrosis over the valve site. One of the methods recommended to avoid this requires the burying of the valve in the skull bone. We present a case of a long-term complication from this procedure: the shunt slowly disconnected, over a prolonged period, leading to the formation of the fibrous tunnel which enabled the shunt to function intermittently. We recommend that the practice of burying the shunt into the skull bone is be reconsidered.

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References

  1. Ammar A: Tissue compatibility of different intracranial implant materials: In-vivo and in-vitro studies. Acta Neurochir 72 (1984) 45–59

    Google Scholar 

  2. Epstein MH: Surgical Management of hydrocephalus. In: HH Schmidek, WH Sweet (eds). Operative Neurosurgical Techniques, Grune and Stratton, Orlando 1988

    Google Scholar 

  3. Haines SJ, F Taylor: Prophylactic Methicillin for shunt operations: Effects on incidence of shunt malfunction and infection. Child's Brain 9 (1982) 10–22

    Google Scholar 

  4. Hirsch JF: Surgery of hydrocephalus: past, present and future. Acta Neurochir (Wien) 116 (1992) 155–160

    Google Scholar 

  5. McCullough DC, JG Kane, JH Presper, M Wells: Antibiotic prophylaxis in ventricular shunt surgery. Child's Brain 7 (1980) 182–189

    Google Scholar 

  6. McLaurin RL: Ventricular shunts: complications and results. In: R McLaurin, L Schut, J Venes, MH Epstein (eds). Pediatric neurosurgery, 2nd edn. Saunders, Philadelphia 1989

    Google Scholar 

  7. Rueda-Franco F, I Maulen-Radovan, B Llamosas-Gallardo: An evaluation of the use of perioperative antibiotics in CSF shunts. In: S Matsumoto, N Tamaki (eds). Hydrocephalus. Pathogenesis and treatment. Springer-Verlag, Tokyo-Berlin-Heidelberg-New York 1991

    Google Scholar 

  8. Shapiro S, J Boaz, M Kleinman, J Kalsbeck, J Mealey: Origin of organisms infecting ventricular shunts. Neurosurgery 22 (1991) 868–872

    Google Scholar 

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Ammar, A., Nasser, M. A long-term complication of burying a shunt valve in the skull. Neurosurg. Rev. 18, 65–67 (1995). https://doi.org/10.1007/BF00416481

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  • DOI: https://doi.org/10.1007/BF00416481

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