Related Experiment Video
Updated: Sep 17, 2025
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Technical nuance of ventriculoperitoneal shunt placement in a patient with cutis verticis gyrata: illustrative case
Youssef J Hamade1,2, Colin Zhu3, Elizabeth Ogando-Rivas1
1Department of Neurosurgery, Boston Medical Center, Brighton, Massachusetts.
Background:
Cutis verticis gyrata (CVG) is a rare benign scalp condition that causes the formation of skin ridges and furrows. Because of the altered scalp anatomy, this condition can pose unique challenges in neurosurgical procedures.
Observations:
The authors report the case of a 47-year-old man with CVG and neurosarcoidosis who developed hydrocephalus requiring a ventriculoperitoneal shunt. Initial shunt placement at Kocher's point proceeded without complications. However, the patient presented several months later with shunt failure caused by migration of the proximal catheter. The cause of this was determined to be related to the patient's scalp hypermobility. After shunt revision and fixation of the hardware using titanium plates and screws, the patient had an uneventful recovery and a stable outcome at follow-up.
Lessons:
This case emphasizes the importance of preoperative planning and intraoperative measures tailored to CVG patients. Further research is needed to elucidate the condition's neurosurgical implications and optimize procedural outcomes. https://thejns.org/doi/10.3171/CASE25174.
