Introducción. La derivación ventriculoatrial y la ventriculopleural (DVP) son métodos alternativos a la derivación ventriculoperitoneal para el drenaje del líquido. ¿Cuáles son las posibles complicaciones de un sistema de derivación? Aunque la hidrocefalia se conocía antiguamente como “agua en el cerebro”, el “ agua” un pequeño conducto entre el tercero y cuarto ventrículo en la mitad del cerebro. catéter se coloca normalmente dentro de la cavidad peritoneal ( abdominal). Derivação ventriculoperitoneal com válvula no tratamento da hidrocefalia infantil . O. — Derivación Ventriculo-atrial para el Tratamiento de la Hidrocefalia por.
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Conclusions Valves newly designed to prevent overdrainage of cerebrospinal fluid give satisfactory results, such that VPS should be considered as an alternative to peritoneal drainage. After analysis of the surgical techniques as well as complications and results the following conclusions are stated: Childs Nery Syst ; The accurate placement of the distal end of the shunt into the right atrium without X-ray control.
Hospital Universitario Virgen de la Arrixaca. An unusual complication and proposed mechanism.
Apparently, Scott et al. CSF pouring through the shunt, that continues functioning, further eases the tube upward movement. No surgical morbidity or mortality was observed, and only one patient developed transitory signs of excessive cerebrospinal fluid drainage, which was corrected by regulating the magnetic valve gradient.
As the patient was asymptomatic, he refused a surgical revision of the shunt. A computerized tomography scan of the head revealed slightly enlarged ventricles but without neuroimaging signs of activity of the hydrocephalus.
We propose that the mechanism to explain the upward tube displacement is due to the abrupt release of the anchoring point formed by the abdominal scar around the catheter that is suddenly stretched, in this way the tube exits the abdominal cavity being unable to return to it 8. Up to the present time December, a total of 54 children are alive with a compensated hydrocephalus and 9 patients died, being impossible to follow-up the 32 remaining cases. Use of acetazolamide to decrease cerebrospinal fluid production in chronically ventilated patients with ventriculopleural shunts.
Child’s Nerv Syst, 16pp.
Infección de la derivación ventrículo-peritoneal en recién nacidos con hidrocefalia
Plain radiographs of the cervical region showed that the swelling was made up by a migrated and coiled peritoneal catheter.
In all three cases, as in the one that we report now, the system contained a spring-reinforced Raimondi catheter.
Complications related to shunt use are commonly classified as infectious, mechanical or functional. Ventriculopleural shunts for hydrocepahlus: Retrograde migration of shunts.
Disconnection and downward migration of the distal catheters within the peritoneal cavity used to be a frequent complication in the so-called 3-piece shunts, a problem that is now almost completely unknown due to the construct of unitized valves or shunts with soldered components.
Full text available only in PDF hidrcoefalia. Ventriculopleural shunting with new technology valves.
Mechanical complications, especially those related to shunt-parts disconnection and downward catheter migration have diminished with the growing use of shunts made up with soldered pieces. Child’s Brain, 3pp. Retrograde migration of the venous catheter as a complication of ventriculoatrial shunts in adults.
Retrograde migration of the venrticulo catheters as a complication of ventriculoperitoneal shunts: Acta Neurochir Venyriculo, pp. Entre y se han realizado nueve DVP en 8 pacientes con hidrocefalia. Nine VPS procedures were performed in eight hydrocephalic patients between and We used differential pressure valves in eight procedures and a flow regulator valve in one. We suggest that, given the multiplicity of CSF drainage systems, the possibility of shunt migration should be borne in mind in the differential diagnosis of patients presenting with symptoms and signs of shunt malfunction.
From this place downwards the shunt tubing could not be palpated. On clinical examination, a painless subcutaneous swelling was palpated on his right supraclavicular region.
Spanish Health Illustrated Encyclopedia – Hidrocefalia – Serie
Symptomatic pleural collection of cerebrospinal fluid caused by a ventriculoperitoneal shunt. University of Peanylvania Press, Philadelphia, Neurosurgery, 23pp. Complete migration of peritoneal shunt tubing to the scalp. We briefly discuss the proposed mechanism for this complication and suggest that this occurrence hidrocsfalia be taken into account at the time of evaluating a patient with shunt malfunction.
A rare complication of the ventriculo-peritoneal shunt. Torres Lanzas aA.
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The aim of this study was to analyze outcome after VPS in eight patients in whom we used the new valves for avoiding overdrainage of cerebrospinal fluid. Observations on ventricular and lumbar subarachnoid peritoneal shunts in hydrocephalic patients. Duplicated peritoneal catheter as derivacino cause of shunt malfunction.