Intermittent entrapment of choroid plexus in ventricular catheter

Ventriculoperitoneal (VP) shunt placement remains the primary treatment option for most cases of pediatric hydrocephalus. However, these devices have a relatively high complication with malfunction commonly attributed to proximal catheter occlusion. Factors augmenting shunt malfunction include infec...

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Main Authors: Guanxiong Mao, MD, Nitin Agarwal, MD, Giulio Zuccoli, MD, Elizabeth C. Tyler-Kabara, MD, PhD
Format: Article
Language:English
Published: Elsevier 2017-09-01
Series:Interdisciplinary Neurosurgery
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751916300500
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author Guanxiong Mao, MD
Nitin Agarwal, MD
Giulio Zuccoli, MD
Elizabeth C. Tyler-Kabara, MD, PhD
author_facet Guanxiong Mao, MD
Nitin Agarwal, MD
Giulio Zuccoli, MD
Elizabeth C. Tyler-Kabara, MD, PhD
author_sort Guanxiong Mao, MD
collection DOAJ
description Ventriculoperitoneal (VP) shunt placement remains the primary treatment option for most cases of pediatric hydrocephalus. However, these devices have a relatively high complication with malfunction commonly attributed to proximal catheter occlusion. Factors augmenting shunt malfunction include infection, valve failure, proximal or distal catheter obstruction, distal catheter migration, shunt disconnection. In this case report, we describe the perioperative course of a neonate with communicating hydrocephalus who required a VP shunt, with real time sonographic documentation of the transient occlusion of the ventricular catheter tip by choroid plexus immediately after surgery. Keywords: Hydrocephalus, Proximal occlusion, Ventriculoperitoneal shunt, Choroid plexus
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spelling doaj.art-914d49739a2a48aa8645dc019ce87e802022-12-21T20:32:33ZengElsevierInterdisciplinary Neurosurgery2214-75192017-09-0191719Intermittent entrapment of choroid plexus in ventricular catheterGuanxiong Mao, MD0Nitin Agarwal, MD1Giulio Zuccoli, MD2Elizabeth C. Tyler-Kabara, MD, PhD3Department of Neurological Surgical, Allegheny General Hospital, Pittsburgh, PA, United StatesDepartment of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United StatesDepartment of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, United StatesDepartment of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States; Corresponding author at: University of Pittsburgh Medical Center, Department of Neurological Surgery, 200 Lothrop Street, Suite B-400, Pittsburgh, PA 15213-2582, United States.Ventriculoperitoneal (VP) shunt placement remains the primary treatment option for most cases of pediatric hydrocephalus. However, these devices have a relatively high complication with malfunction commonly attributed to proximal catheter occlusion. Factors augmenting shunt malfunction include infection, valve failure, proximal or distal catheter obstruction, distal catheter migration, shunt disconnection. In this case report, we describe the perioperative course of a neonate with communicating hydrocephalus who required a VP shunt, with real time sonographic documentation of the transient occlusion of the ventricular catheter tip by choroid plexus immediately after surgery. Keywords: Hydrocephalus, Proximal occlusion, Ventriculoperitoneal shunt, Choroid plexushttp://www.sciencedirect.com/science/article/pii/S2214751916300500
spellingShingle Guanxiong Mao, MD
Nitin Agarwal, MD
Giulio Zuccoli, MD
Elizabeth C. Tyler-Kabara, MD, PhD
Intermittent entrapment of choroid plexus in ventricular catheter
Interdisciplinary Neurosurgery
title Intermittent entrapment of choroid plexus in ventricular catheter
title_full Intermittent entrapment of choroid plexus in ventricular catheter
title_fullStr Intermittent entrapment of choroid plexus in ventricular catheter
title_full_unstemmed Intermittent entrapment of choroid plexus in ventricular catheter
title_short Intermittent entrapment of choroid plexus in ventricular catheter
title_sort intermittent entrapment of choroid plexus in ventricular catheter
url http://www.sciencedirect.com/science/article/pii/S2214751916300500
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