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Indian J Crit Care Med · Nov 2015
Case ReportsSevere respiratory failure following ventriculopleural shunt.
- Shahzad Alam and Nagaraju M Manjunath.
- Department of Pediatrics, Pediatric Intensive Care Unit, Narayana Hrudayalaya, Bangalore, Karnataka, India.
- Indian J Crit Care Med. 2015 Nov 1; 19 (11): 690-2.
AbstractCerebrospinal fluid (CSF) diversion procedure has been used for long to treat hydrocephalus in children. The principle of shunting is to establish a communication between the CSF and a drainage cavity (peritoneum, right atrium, and pleura). Ventriculoperitoneal shunt is used most commonly, followed secondly by ventriculopleural shunt (VPLS). Hydrothorax due to excessive CSF accumulation is a rare complication following both the type of shunts and is more frequently seen with VPLS. We report a case of a 6-year-old female child presenting with massive CSF hydrothorax with respiratory failure following VPLS. The aim of the article is to highlight early recognition of this rare and life-threatening condition, which could easily be missed if proper history is not available.
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