Failure of a Torkildsen shunt after functioning for 50 years.

Abstract:

:Mechanical obstruction is a severe complication of ventricular catheter use. Its incidence was shown to be high in the 1960s and 1970s, with up to 41% of the catheters becoming obstructed within 10 years after surgery. The authors present what is to their knowledge the first reported case of a patient with failure of a Torkildsen shunt after 50 years of functioning. A 60-year-old woman presented with increasing gait ataxia, decline in cognitive functions (including short-term memory loss), and slight urinary incontinence. The diagnosis of hydrocephalus and thus malfunction of the Torkildsen shunt implanted 50 years previously was confirmed by MR images, which revealed a prominent triventricular hydrocephalus. The patient subsequently underwent endoscopic third ventriculostomy (ETV), the current surgical treatment of choice, resulting in total resolution of her neurological symptoms and amelioration of cerebral tissue distension. Decrease in ventricle dilation and success of the ETV were confirmed on postoperative follow-up MR images.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Zinn PO,Bozinov O,Burkhardt JK,Reisch R,Yaşargil MG,Bertalanffy H

doi

10.3171/2009.7.JNS09729

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

796-9

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

112

pub_type

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