Abstract
Case report.
A 16-year-old male patient who had been treated at the age of 13 months with a ventriculoperitoneal (VP) shunt due to obstructive hydrocephalus was presented to our department for a routine follow-up examination. The patient had tolerated well a shunt disconnection in 1990 and the distal part had been removed. Six years later radiological evaluation revealed an intracerebral mass adjacent to the remaining intraventricular catheter. The mass, histologically classified as an abscess, had to be removed 3 years later due to disease progression, although the patient remained asymptomatic.
Discussion.
This case is of particular interest because it demonstrates the extremely delayed onset and progressive course of a well-known complication of VP shunt systems in an asymptomatic patient. In addition, the reported case raises the question of whether a non-functioning shunt needs to be removed or not.
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References
Aguiar PH, Shu EB, Freitas ABR, Leme RJ, Miura FK, Marino R Jr (2000) Causes and treatment of intracranial haemorrhage complicating shunting for pediatric hydrocephalus. Childs Nerv Syst 16:218–221
Baskin JJ, Manwaring KH, Rekate HL (1998) Ventricular shunt removal: the ultimate treatment of the slit ventricle syndrome. J Neurosurg 88:478–484
Choux M, Genitori L, Lang D, Lena G (1992) Shunt implantation: reducing the incidence of shunt-infections. J Neurosurg 77:875–880
Epstein F (1982) Diagnosis and management of arrested hydrocephalus. Monogr Neural Sci 8:227–228
Faulhauer K, Schmitz P (1978) Overdrainage phenomena in shunt treated hydrocephalus. Acta Neurochir (Wien) 15:89–101
Fischer G, Goebel H, Latta E (1983) Penetration of the colon by a ventriculo-peritoneal drain resulting in an intra-cerebral abscess. Zentralbl Neurochir 44:155–160
Gower DJ, Horton D, Pollay M (1990) Shunt related brain abscess and ascending shunt infection. J Child Neurol 5:318–320
Hemmer R (1982) Can a shunt be removed? Monogr Neural Sci 8:227–228
Korosue K, Tamaki N, Matsumoto S, Ohi Y (1981) Intracranial granuloma as an unusual complication of subdural peritoneal shunt. J Neurosurg 55:136–138
Moss DS, Mclone DG, Arditi M, Yoger R (1988) Pediatric cerebral abscess. Pediatr Neurosci 14:291–296
Schulhof LA, Worth RM, Kalsbeck JE (1975) Bowel perforation due to peritoneal shunt. A report of seven cases and a review of the literature. Surg Neurol 3:265–269
Sharma BS, Kalk VK (1988) Multiple subdural abscesses following colonic perforation—a rare complication of a ventriculoperitoneal shunt. Pediatr Radiol 18:407–408
Wilson CB, Bertan V (1966) Perforation of the bowel complicating peritoneal shunt for hydrocephalus. Report of two cases. Am Surg 32:601–603
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Vougioukas, V.I., Feuerhake, F., Hubbe, U. et al. Latent abscess formation adjacent to a non-functioning intraventricular catheter. Childs Nerv Syst 19, 119–121 (2003). https://doi.org/10.1007/s00381-002-0706-9
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DOI: https://doi.org/10.1007/s00381-002-0706-9