Overdrainage Secondary to Ventriculosinus Shunt.

Abstract:

BACKGROUND:Shunting to the cranial venous sinus represents a novel treatment strategy for hydrocephalus. To our knowledge, overdrainage as a complication after shunting to the cranial venous sinus has not previously been reported in the clinical literature. Here we report the case of a 50-year-old man who suffered from overdrainage after a ventriculosinus shunt insertion. CASE DESCRIPTION:A 50-year-old man was admitted to our hospital with recurring fever and gait difficulty 4 months after a ventriculoperitoneal shunt (VPS) insertion for primary communicating hydrocephalus. Cerebrospinal fluid cultures were positive. The previous VPS was removed, and after successful antibiotic treatment evidenced by repeated negative cerebrospinal fluid (CSF) cultures, we performed a ventriculosinus shunt operation. A postoperative computed tomography scan of the head showed an excessively contracted ventricular system, subdural hemorrhage, and effusion, indicating the occurrence of overdrainage. CONCLUSIONS:Ventriculosinus shunt surgery is a feasible and reliable option for the treatment of hydrocephalus, especially for cases of failed VPS. However, there remains a risk of overdrainage occurring postsurgery, and this should be taken into consideration in clinical practice.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Zhao T,Ouyang W,Wang S,Wu P

doi

10.1016/j.wneu.2017.02.135

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

696.e17-696.e20

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(17)30309-1

journal_volume

102

pub_type

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