Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Shunt migration into the sphenoid sinus: case report.

Khan W Li1, Elisa Ciceri, Giovanni Lasio

  • 1Department of Neurological Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.

Neurosurgery
|August 20, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

State of the art and future perspectives on the management of spheno-orbital meningiomas: a meta-analysis comparing transorbital and transcranial approaches.

Frontiers in oncology·2026
Same author

Salvage microsurgery for vestibular schwannoma after failed stereotactic radiosurgery: a multi-institutional retrospective study.

Journal of neuro-oncology·2026
Same author

Spatial neglect in parietal glioma patients: what do we know? a systematic review.

Acta neurochirurgica·2026
Same author

Fluorescence-aided stereotactic needle biopsies for brain tumors: experience on 516 cases.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·2026
Same author

Deciphering the Role of Cancer Stem Cells in Breast Cancer Brain Colonization Using a Novel Patient-Derived Model.

Advanced healthcare materials·2026
Same author

Focused ultrasound for blood-brain barrier opening in brain tumor patients: Technical nuances.

Neuro-oncology advances·2026

A rare complication of cerebrospinal fluid shunts occurred when a catheter migrated into the sphenoid sinus. This case highlights unusual shunt migration through bone, requiring surgical intervention and repair.

Area of Science:

  • Neurosurgery
  • Neurology
  • Medical Imaging

Background:

  • Cerebrospinal fluid (CSF) shunting is a common procedure for hydrocephalus and other CSF circulation disorders.
  • Shunt malfunction, including catheter migration, is a known complication.
  • Proximal shunt migration into the cranial base is exceedingly rare.

Observation:

  • A 41-year-old male with a 21-year-old cyst-to-peritoneum shunt presented with CSF rhinorrhea.
  • Neuroradiological imaging demonstrated the proximal shunt catheter had migrated into the sphenoid sinus.
  • Intraoperative findings confirmed dural and bony erosion at the catheter's entry point.

Findings:

  • This is the first reported case of proximal shunt migration through the cranial base into the sphenoid sinus.

Related Experiment Videos

  • The shunt catheter was successfully removed, and the dural defect was repaired.
  • The patient experienced an uneventful recovery post-intervention.

    • Implications:

    • This case suggests that long-term CSF shunting may lead to unexpected complications, including bony erosion and migration.
    • Excessive proximal catheter length and chronic CSF pulsations are hypothesized contributors to this migration.
    • Awareness of such rare migration patterns is crucial for neurosurgeons managing long-term shunt patients.