Atlanto-axial rotatory fixation complicating ventriculo-peritoneal shunt surgery: a case report and literature review
Costanza Zattra1, Marco Paolo Schiariti2, Emanuele La Corte2,3
1Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, via Giovanni Celoria 11, 20133, Milan, Italy. costanzamaria.zattra01@universitadipavia.it.
Introduction:
Atlanto-axial rotatory fixation (AARF) is a rare complication of ventriculo-peritoneal shunt (VPS) surgery.
Case Presentation:
The authors present a unique case of AARF developing early after VP shunting, with persistent torticollis, a "cock-robin" head position, and a thick fibrous band along the catheter path. Due to refractoriness to conservative treatments, AARF, which can be an early-onset complication of VPS surgery, was resolved by removing the distal catheter along with the fibrous band encasing it.
Conclusion:
Surgical removal of the fibrous band might be enough to solve such complication with no need of further surgical fusion procedures.
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