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Updated: Jun 21, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Onset of symptomatic hydrocephalus requiring emergency cerebrospinal fluid diversion following high-voltage
Laurie L Ackerman1, Timothy C Ryken, G Patrick Kealey
1Department of Neurological Surgery, Riley Children's Hospital/Indiana University, Indianapolis, Indiana 46202-5200, USA. lackerma@iupui.edu
Abstract:
High-voltage electrical injuries have been reported to cause a plethora of neurological complications including cognitive, motor, and sensory deficits in an immediate or delayed fashion. In this setting, new-onset symptomatic hydrocephalus requiring CSF shunt placement has not been described. The authors present the case of an 18-year-old man who sustained a high-voltage electrical injury with a calvarial contact point that required emergency CSF diversion within hours of injury and subsequently required placement of a lumboperitoneal shunt. Management of the open calvarial wound, which required rotational flap reconstruction, and the need for ongoing CSF diversion required care and a team approach.
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