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Arch. Gynecol. Obstet. · Sep 2010
Case ReportsManagement of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report.
- Masahiro Murakami, Mikio Morine, Takeshi Iwasa, Yohei Takahashi, Takeshi Miyamoto, Pooh Kyong Hon, and Yoshinobu Nakagawa.
- Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji, Kagawa, Japan. murakami@kagawasyoni.hosp.go.jp
- Arch. Gynecol. Obstet. 2010 Sep 1; 282 (3): 339-42.
BackgroundWomen with ventriculoperitoneal (VP) shunt require special care during pregnancy, although they develop few complications related to hydrocephalus.CaseWe recently encountered a pregnant patient with hydrocephalus, which was caused by VP shunt malfunction induced by increased intra-abdominal pressure associated with pregnancy. She was treated by replacement of the VP shunt with a ventriculoatrial (VA) shunt. After treatment, she achieved vaginal delivery.ConclusionWe recommend VA shunt implantation as a treatment option for the management of VP shunt malfunction during pregnancy. We further propose that patients in whom the VP shunt is replaced with a VA shunt can achieve spontaneous vaginal delivery.
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