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Intracranial thrombosis after ventriculoperitoneal shunting

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Abstract

We report a case of intracranial thrombosis (IT) after ventriculoperitoneal shunting (VPS). We reviewed the literature to highlight the importance of considering the possibility of cerebral venous thrombosis following VPS, even though it is a rarely reported complication. A 14-year-old boy underwent distal catheter replacement due to its short size that was detected during a routine consultation. Five days postoperatively, he experienced nausea, vomiting, seizures, and headache. Although a diagnosis of meningitis was considered, diagnosis of IT was eventually confirmed through computed tomography venography and gadolinium magnetic angioresonance. The patient subsequently underwent anticoagulant therapy, which led to complete resolution of symptoms. In this report, we suggest a possible association between VPS and IT, which is a complication that is not commonly reported. The literature suggests that decreased blood flow due to over-drainage of CSF after VPS causes decreased head pressure, culminating in venous stasis and consequent thrombosis. In addition, the literature describes associations between IT and lumbar puncture (LP); therefore, it is important to consider the possibility of IT following these procedures.

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Authors and Affiliations

  1. Federal University of Goiás, Setor Leste Universitário, Rua 235, Goiânia, GO, 74605-050, Brazil

    Nayara M. Pereira, Luiz A. Vieira Netto, Luís Felipe A. Peres, Alice J. Zaccariotti & Paulo Ronaldo Jubé Ribeiro

  2. UniEVANGÉLICA Medical School, Avenida Universitária, Km 3,5, Cidade Universitária, Anápolis, GO, 75083-515, Brazil

    Lígia G. Ribeiro

Authors
  1. Nayara M. Pereira
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  2. Luiz A. Vieira Netto
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  3. Luís Felipe A. Peres
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  4. Alice J. Zaccariotti
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  5. Lígia G. Ribeiro
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  6. Paulo Ronaldo Jubé Ribeiro
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Contributions

Nayara Matos Pereira and Paulo Ronaldo Jubé Ribeiro supervised the writing of this work. Nayara Matos Pereira was also responsible for reviewing medical records and gathering the exam results. Luiz Alves Vieira Netto, Luís Felipe Araújo Peres, Alice Jardim Zaccariotti, and Lígia Gonsalves Ribeiro did a literature review and wrote the paper. All the authors discussed the case and contributed to the final report of the case.

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Correspondence to Nayara M. Pereira.

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Pereira, N.M., Vieira Netto, L.A., Peres, L.F.A. et al. Intracranial thrombosis after ventriculoperitoneal shunting. Childs Nerv Syst 38, 1205–1208 (2022). https://doi.org/10.1007/s00381-021-05319-0

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