• Br J Neurosurg · Feb 2011

    Case Reports

    Spontaneous knot; a rare cause of ventriculoperitoneal shunt blockage.

    • Wail Mohammed, Ulrikke Wiig, and John Caird.
    • Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland. wailmohammed@rcsi.ie
    • Br J Neurosurg. 2011 Feb 1; 25 (1): 113-4.

    AbstractA 14-year old X linked congenital hydrocephalus presented with unexplained headaches and vomiting. He had external ventricular drain and intracranial pressure monitoring (ICP). Subsequently, he underwent exploration and removal of previously inserted ventriculoperitoneal (VP) shunts. On retrieval of peritoneal catheters a double knot was noted between his two distal catheters. This case illustrates a rare cause of ventriculoperitoneal shunt malfunction.

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