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CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0043-1777279
Brief Report

Cranial Migration of a VP Shunt—A Routine Procedure with a Rare Complication!

Aman Singh
1   Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Awadhesh Yadav
1   Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Pritesh Yadav
1   Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Bal Krishna Ojha 
1   Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India
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Abstract

Ventriculoperitoneal shunt is one of the commonest neurosurgical procedures associated with a high-rate complication. Moreover, the variety of complications are nonetheless astonishing. Shunt malfunction is considered the most common complication of this procedure, but a cranial migration of shunt leading to malfunction is extremely rare. We present a case of a 6-month-old male child who was initially managed with a right-sided medium-pressure ventriculoperitoneal shunt for aqueductal stenosis with hydrocephalus at the age of 3 months and presented to us with features of shunt malfunction owing to a cranial migration of the shunt assembly. Cranial migration of a ventriculoperitoneal shunt is an extremely rare complication. Its possible mechanism includes a large subgaleal space for the chamber, larger size burr hole, inadequate anchorage of the shunt assembly, and excessive neck movements of the child in the postoperative procedure.

Keywords

cranial migration - shunt malfunction - VP shunt

Authors' Contribution

A.Y. contributed for surgery and procedure. A.S. contributed for case Report. P.Y. contributed to compilation of data and review of literature. B.K.O. contributed to discussion and analysis.




Publication History

Article published online:
26 December 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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