Ventriculopleural shunting used as a temporary diversion.

Abstract:

:Due to the limited absorptive capacity of the pleural cavity, infants and young children are not generally ideal candidates for ventriculopleural shunts. We report using chest cavities as alternate for temporary diversion of CSF in a young child. Venous access to the cervical region could not be utilized because of scarring from previous procedures, while peritoneal access was contraindicated due to repeated pseudocyst formation. Pleural effusions were removed by thoracentesis when necessary, and the shunt catheter was changed to the opposite side of the chest when the effusions reaccumulated within one week. Utilizing the ventriculopleural shunts allowed us to temporize her non-communicating hydrocephalus for a period of one year, until a definitive CSF procedure by direct intracardiac placement of the distal catheter could be performed.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Willison CD,Kopitnik TA,Gustafson R,Kaufman HH

doi

10.1007/BF01400595

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

67-8

issue

1-2

eissn

0001-6268

issn

0942-0940

journal_volume

115

pub_type

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