• J Clin Neurosci · Jan 2015

    Case Reports

    Ventriculo-peritoneal shunt malfunction due to complete migration and subgaleal coiling of the proximal and distal catheters.

    • Stylianos Pikis, José E Cohen, Yigal Shoshan, and Mony Benifla.
    • Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel.
    • J Clin Neurosci. 2015 Jan 1; 22 (1): 224-6.

    AbstractVentriculo-peritoneal (VP) shunt malfunction due to proximal and distal catheter migration has been rarely reported in the literature. Shunt migration has been proposed to occur as a result of a combination of various mechanisms, including the windlass effect, retained memory of the shunt tubing, inadequate shunt fixation, and increased intra-abdominal pressures. We describe a rare case of a 6-week-old child who presented in our department with VP shunt malfunction due to complete proximal migration and coiling of the peritoneal and ventricular VP shunt catheters within a subgaleal pocket at the left occipital area. Copyright © 2014. Published by Elsevier Ltd.

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