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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

Communicating hydrocephalus following total parenteral nutrition

L J Newman, L Heitlinger, E Hiesiger

    Journal of Pediatric Surgery
    |April 1, 1980
    PubMed

    Insights

    Communicating hydrocephalus can occur months after TPN catheter removal due to venous outflow obstruction. A lumbo-peritoneal shunt effectively treated this rare complication in an infant.

    Area of Science:

    • Neurology
    • Pediatrics
    • Neurosurgery

    Background:

    • Communicating hydrocephalus is a condition characterized by impaired cerebrospinal fluid absorption.
    • Cerebral venous outflow obstruction can lead to increased intracranial pressure and hydrocephalus.
    • TPN (total parenteral nutrition) catheters are used for nutritional support in infants.

    Observation:

    • A rare case of communicating hydrocephalus was observed in an infant.
    • The hydrocephalus developed several months after the removal of a TPN catheter.
    • Cerebral venous outflow obstruction was identified as the underlying cause.

    Findings:

    • The study illustrates diagnostic techniques to characterize the hydrocephalus.
    • Imaging confirmed hydrocephalus secondary to venous outflow obstruction.
    • A lumbo-peritoneal shunt was successfully implemented to manage the condition.

    Implications:

    • This case highlights a potential long-term complication of TPN catheterization.
    • Early recognition and appropriate intervention are crucial for managing this condition.
    • Further research may explore the mechanisms linking TPN catheter removal to venous obstruction.

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