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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
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Overdrainage Secondary to Ventriculosinus Shunt
Tianyuan Zhao1, Wei Ouyang1, Shaobing Wang1
1Department of Neurosurgery, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, China.
World Neurosurgery
|March 14, 2017
Summary
Ventriculosinus shunts offer a new hydrocephalus treatment. This case highlights the risk of overdrainage, a previously unreported complication, after this novel surgical procedure.
Area of Science:
- Neurosurgery
- Neurology
- Medical Case Reports
Background:
- Shunting to the cranial venous sinus is an emerging treatment for hydrocephalus.
- Overdrainage is a potential complication of shunting procedures.
- This report details a novel complication of ventriculoperitoneal shunt (VPS) revision.
Observation:
- A 50-year-old male presented with fever and gait issues post-VPS.
- Infection complicated the initial VPS, requiring removal and antibiotic treatment.
- A subsequent ventriculosinus shunt was performed.
Findings:
- Postoperative imaging revealed an excessively contracted ventricular system.
- Evidence of subdural hemorrhage and effusion indicated overdrainage.
- This represents the first reported case of overdrainage after ventriculosinus shunt insertion.
Implications:
- Ventriculosinus shunting is a viable alternative for hydrocephalus, particularly after VPS failure.
- Clinicians must be aware of the potential for post-surgical overdrainage.
- Careful patient monitoring is essential following ventriculosinus shunt placement.
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