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Updated: May 24, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Subgaleal coiling of the proximal and distal components of a ventriculoperitoneal shunt
Brian T Kloss1, David M Hart, Lalainia Secreti
1SUNY Upstate Medical University, Syracuse, NY. klossb@upstate.edu.
Abstract:
Migration is a rare complication of venticuloperitoneal shunts and is thought to be associated with the "memory" of the plastic tubing and the windlass effect of neck flexion and extension. The purpose of this case report is to detail a very rare case of complete distal to proximal shunt migration.
Insights
Venticuloperitoneal shunts rarely migrate, often due to tubing memory and neck movements. This case report details an extremely rare instance of complete distal to proximal shunt migration.
Area of Science:
- Neurosurgery
- Medical Device Complications
Background:
- Venticuloperitoneal shunts are common treatments for hydrocephalus.
- Shunt migration is a rare but serious complication.
- The exact mechanisms of shunt migration are not fully understood.
Purpose of the Study:
- To report an exceptionally rare case of complete distal to proximal shunt migration.
- To contribute to the understanding of shunt migration dynamics.
Main Methods:
- Case report detailing a patient with a migrated venticuloperitoneal shunt.
- Review of relevant literature on shunt migration.
Main Results:
- The case involved a complete migration of the shunt from the distal to the proximal end.
- This represents a highly unusual presentation of shunt complication.
Conclusions:
- Complete distal to proximal shunt migration is an exceedingly rare event.
- Further investigation into shunt material properties and biomechanics may elucidate migration mechanisms.
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