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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

Pericallosal artery pseudoaneurysm secondary to endoscopic-assisted ventriculoperitoneal shunt placement. Case report

R Shane Tubbs1, Leslie Acakpo-Satchivi, Jeffrey P Blount

  • 1Department of Cell Biology, University of Alabama at Birmingham, Alabama, USA. rstubbs@uab.edu

Journal of Neurosurgery
|August 23, 2006
PubMed

Insights

Cerebrospinal fluid (CSF) diversion procedures can rarely lead to pseudoaneurysms. This case highlights a pericallosal artery pseudoaneurysm after ventricular catheter placement, emphasizing a rare but serious risk.

Area of Science:

  • Neurosurgery
  • Pediatric Neurology
  • Vascular Surgery

Background:

  • Complications following cerebrospinal fluid (CSF) diversion are varied.
  • Pseudoaneurysm formation after ventricular catheter placement is considered rare.

Observation:

  • A child developed a pericallosal artery pseudoaneurysm after endoscopic ventricular catheter insertion for a ventriculoperitoneal shunt.
  • Intraventricular bleeding indicated vascular injury, confirmed by angiography revealing a right pericallosal artery pseudoaneurysm.

Findings:

  • This is the first reported case of pseudoaneurysm formation linked to ventricular catheter placement for CSF diversion.
  • The patient required surgical trapping of the pseudoaneurysm and physical therapy for resulting leg weakness.

Implications:

  • This case underscores a rare but significant risk associated with routine CSF shunt procedures.
  • Highlights the importance of vigilance for vascular complications during and after CSF diversion surgery.

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