المؤلفون: Bal’afif F., Wibowo O., Nazwar T. A., Wardhana D. W., Mustofa M.

المصدر: Acta Medica Bulgarica, Vol 51, Iss s1, Pp 26-30 (2024)

مصطلحات موضوعية: ventriculoperitoneal shunt malfunction, ventriculoperitoneal shunt fracture, cranium, abdominal cavity, complications, Medicine

الوصف: Ventriculoperitoneal shunt malfunction is frequently observed, with the ventriculoperitoneal shunt fracture being a prevalent etiology. The occurrence of ventriculoperitoneal shunt malfunction is approximately 40% in the first year after implantation and increases to 50% in the second year. Ventriculoperitoneal shunt fracture accounts for 15% of total ventriculoperitoneal shunt malfunction incidents. Ventriculoperitoneal shunt fractures commonly occur due to calcification, immune reactions, and abrasions. The report describes a 5-year-old child who exhibited ventriculoperitoneal shunt malfunction based on clinical examination and CT scan findings. The patient presented with fever and pain in the postoperative wound located posteriorly to the left ear. Radiographic imaging of the cranium and thoracoabdominal region revealed the presence of a ventriculoperitoneal shunt fracture and a C5 spinal disconnection. Additionally, it was demonstrated that the distal catheter had relocated to the abdominal cavity. The laboratory examination and cerebrospinal fluid analysis yielded normal results. The fractured ventriculoperitoneal shunt was subsequently removed and replaced with a new one. It is important to thoroughly investigate and comprehend ventriculoperitoneal shunt malfunctions, even during routine follow-ups.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2719-5384Test

الوصول الحر: https://doaj.org/article/9b2b5d0b4f3c427fb9a3634879cfd985Test

المؤلفون: Balafif, Fachriy, Parenrengi, Muhammad Arifin, Suryaningtyas, Wihasto

المصدر: Bali Medical Journal; Vol. 12 No. 2 (2023): Available online : 1 August 2023; 2160-2164 ; 2302-2914 ; 2089-1180

مصطلحات موضوعية: hydrocephalus, VP Shunt, shunt complication, shunt fracture

الوصف: Link of Video Abstract: https://youtu.be/7m2n6og9EUIBackgroundTest: Shunt fracture is a ventriculoperitoneal (VP) complication requiring shunt revision. The author discusses the experience of treating 5 cases of hydrocephalus patients with shunt fracture, including a clinical manifestation, nutritional status, and age of VP shunt insertion as a risk factor of shunt fracture will be discussed further in this case series report. Case Presentation: This study analyzed all cases treated in 6 years from 2016 to 2021, with an inclusion criterion of all pediatric patients with shunt fractures. This study is a retrospective report of the clinical manifestations and diagnoses assessed for pre-procedural and post-procedural conditions. Eight hundred fifty-two patients with hydrocephalus with VP shunt insertion and 5 patients with shunt fracture were reported. Headache, lump in the shunt line, vomiting, and seizure were the main complaints of all patients. Four of the five patients had poor nutritional status (<50th and <3rd percentile). One patient had a shunt removal, two had a shunt revision, and two had a laparoscopic shunt extraction and VP shunt insertion. All patients had improved clinical outcomes. Conclusion: Knowing the process of shunt fracture is essential as a modality to determine the subsequent management. A comprehensive clinical and radiological examination is mandatory to rule out a shunt fracture. Monitoring patients with VP shunt is an important thing that must be done to prevent further complications.

وصف الملف: application/pdf

العلاقة: https://balimedicaljournal.org/index.php/bmj/article/view/4524/2904Test; https://balimedicaljournal.org/index.php/bmj/article/view/4524Test

الإتاحة: https://doi.org/10.15562/bmj.v12i2.4524Test
https://balimedicaljournal.org/index.php/bmj/article/view/4524Test

المؤلفون: Kusumo Rahardjo, Arif, Hermawan, Yusuf, Dwi Wijayanti, Vita

المساهمون: Dr Wahidin Sudiro Husodo Kota Mojokerto General Hospital

المصدر: Jurnal Ilmiah Kedokteran Wijaya Kusuma; Vol 11, No 2 (2022): SEPTEMBER 2022; 105-110 ; 2580-5967 ; 1978-2071 ; 10.30742/jikw.v11i2

مصطلحات موضوعية: extraction, shunt fracture, laparoscopy, case report, ventriculo-peritoneal shunt

الوصف: Laparoscopy is one way to perform various simple procedures or surgeries in the abdominal cavity. Laparoscopy can be useful in the management of ventriculo-peritoneal shunt (VP Shunt) fractures. The peritoneal component of the shunt remaining in the abdominal cavity can be removed using laparoscopy. A pediatric patient with hydrocephalus with a history of VP Shunt insertion 5 years ago, came with complaints of weakness, vomiting and difficulty eating. Physical examination revealed the presence of edema in the chamber area. A CT scan of the head and plain abdominal radiographs were performed. The diagnosis was made as a shunt fracture, with the peritoneal component of the shunt remaining in the abdominal cavity. The patient received treatment in the form of a revised VP shunt and peritoneal shunt extraction using standard laparoscopy which is commonly used for adult patients. The patient's condition improved after the procedure. Peritoneal shunt extraction in cases of VP shunt fracture can be safely performed using laparoscopy. If there are limited tools, this procedure can still be performed on children using standard laparoscopy which is usually used for adult patients. Authors report this case due to no previous report in Mojokerto area were known.

وصف الملف: application/pdf

العلاقة: https://journal.uwks.ac.id/index.php/jikw/article/view/1488/pdfTest; https://journal.uwks.ac.id/index.php/jikw/article/view/1488Test

الإتاحة: https://doi.org/10.30742/jikw.v11i2.1488Test
https://doi.org/10.30742/jikw.v11i2Test
https://journal.uwks.ac.id/index.php/jikw/article/view/1488Test

المؤلفون: Sung Kyoo Hwang, Jeong-Hyun Hwang, Myungsoo Kim, Man-Kyu Park, Ki-Su Park, Seong-Hyun Park

المصدر: Journal of Korean Neurosurgical Society

مصطلحات موضوعية: medicine.medical_specialty, Clinical Article, business.industry, General Neuroscience, Shunt fracture, medicine.disease, Ventriculoperitoneal shunt, Calcification, Hydrocephalus, Shunt (medical), Surgery, medicine, Retrospective analysis, Neurology (clinical), Vp shunt, Complication, business

الوصف: Objective Ventriculoperitoneal (VP) shunt complication is a major obstacle in the management of hydrocephalus. To study the differences of VP shunt complications between children and adults, we analyzed shunt revision surgery performed at our hospital during the past 10 years. Methods Patients who had undergone shunt revision surgery from January 2001 to December 2010 were evaluated retrospectively by chart review about age distribution, etiology of hydrocephalus, and causes of revision. Patients were grouped into below and above 20 years old. Results Among 528 cases of VP shunt surgery performed in our hospital over 10 years, 146 (27.7%) were revision surgery. Infection and obstruction were the most common causes of revision. Fifty-one patients were operated on within 1 month after original VP shunt surgery. Thirty-six of 46 infection cases were operated before 6 months after the initial VP shunt. Incidence of shunt catheter fracture was higher in younger patients compared to older. Two of 8 fractured catheters in the younger group were due to calcification and degradation of shunt catheters with fibrous adhesion to surrounding tissue. Conclusion The complications of VP shunts were different between children and adults. The incidence of shunt catheter fracture was higher in younger patients. Degradation of shunt catheter associated with surrounding tissue calcification could be one of the reasons of the difference in facture rates.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a0443b3d712d0a4594070d06e7567f7eTest
https://doi.org/10.3340/jkns.2015.57.5.359Test