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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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A Pericatheter Abscess Following Acupuncture in a Patient With VP Shunt.
1Department of Neurosurgery, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Korean Journal of Neurotrauma
|November 16, 2022
Summary
A rare pericatheter abscess formed after scalp acupuncture in a patient with a history of hydrocephalus. Prompt treatment involving debridement and antibiotics led to recovery, highlighting the need for infection control in acupuncture practices.
Area of Science:
- Neurology
- Infectious Diseases
- Alternative Medicine
Background:
- A 25-year-old woman with a history of meningitis and hydrocephalus, treated with a ventriculoperitoneal shunt, underwent scalp acupuncture for a subgaleal hematoma.
- Scalp acupuncture is an alternative therapy increasingly used for various conditions.
Observation:
- The patient developed a pericatheter abscess in the lateral neck.
- Clinical examination revealed a retained catheter associated with the abscess.
Findings:
- The abscess was successfully treated with radical debridement, cavity irrigation, and catheter removal.
- Culture of the abscess drainage identified *Staphylococcus aureus* as the causative agent.
- The patient recovered following appropriate antibiotic therapy.
Implications:
- This case underscores the risk of serious infections, including pericatheter abscesses, associated with acupuncture.
- Highlights the importance of sterile techniques and careful monitoring during and after acupuncture procedures.
- Emphasizes the need for increased vigilance regarding potential complications of alternative medicine modalities.
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