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Journal of Pediatric Neurology 2009; 07(04): 419-421
DOI: 10.3233/JPN-2009-0325
Case Report
Georg Thieme Verlag KG Stuttgart – New York

A rare case of complete intraventricular migration of ventriculo-peritoneal shunt

Vijay Parihar
a   Department of Neurosurgery, NSCB Government Medical College & Hospital Jabalpur, Madhya Pradesh, India
,
Yad R. Yadav
a   Department of Neurosurgery, NSCB Government Medical College & Hospital Jabalpur, Madhya Pradesh, India
,
Nityanand Pandey
b   Department of General Surgery, NSCB Government Medical College & Hospital Jabalpur, Madhya Pradesh, India
,
Dhananjaya Sharma
b   Department of General Surgery, NSCB Government Medical College & Hospital Jabalpur, Madhya Pradesh, India
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Publication History

25 December 2008

26 February 2009

Publication Date:
30 July 2015 (online)

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Abstract

The proximal migration of a ventriculoperitoneal (VP) shunt into the ventricles is an extremely rare complication of VP shunt surgery. Only few cases have been previously reported. We report a case of a 4-month-old girl who suffered a shunt malfunction due to complete migration of the shunt assembly, including the shunt chamber, in the dilated lateral ventricles. The migrated shunt was left in situ. A new VP shunt was performed on the opposite side. Child was doing well in follow up. This case and the other reported cases are studied, and a possible causes and preventive measures are discussed.

Keywords

Hydrocephalous - shunt malfunction - ventriculoperitoneal shunt