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Related Experiment Videos

Are non-functioning intraventricular shunt catheters really dormant?

Rahul Gupta1, Sandeep Mohindra, Anil Kumar Dhingra

  • 1Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

British Journal of Neurosurgery
|July 7, 2007
PubMed
Summary
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A child developed a cerebral abscess around a dormant, non-functional catheter. Spillage of abscess contents caused fatal ventriculitis, questioning the practice of leaving dormant catheters in place.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Infectious Diseases

Background:

  • Cerebral abscesses can occur long after neurosurgical procedures.
  • Non-functional catheters are often left in situ, presumed dormant.
  • The risk of delayed complications from retained foreign bodies is a concern.

Observation:

  • A unique case involving a pediatric patient with a peri-catheter cerebral abscess is described.
  • The abscess formed years after the catheter became non-functional and was left in place.
  • The patient experienced inadvertent intraventricular spillage of abscess contents.

Findings:

  • The spillage of abscess contents resulted in acute, fatal ventriculitis.
  • This complication arose from a seemingly dormant, non-functional indwelling catheter.

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  • Delayed abscess formation and rupture pose a significant risk.

    • Implications:

    • This case challenges the standard practice of leaving non-functional catheters in situ.
    • It highlights the need for careful consideration regarding the removal of all dormant catheters.
    • A thorough risk-benefit analysis is crucial when deciding on catheter removal to prevent potentially fatal outcomes like ventriculitis.