On-off malfunction in a pediatric shunt


Çokluk C., Aydin K., Kocabıçak E.

Journal of Experimental and Clinical Medicine (Turkey), cilt.26, sa.3, ss.142-144, 2009 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 3
  • Basım Tarihi: 2009
  • Dergi Adı: Journal of Experimental and Clinical Medicine (Turkey)
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.142-144
  • Anahtar Kelimeler: Hydrocephalus, On-off shunt occlusion, Pediatric patient, Shunt malfunction, Ventriculo-peritoneal shunt
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Three-years-old-boy with a history of ventriculo-peritoneal shunt placement was admitted to our neurosurgery department with headache, vomiting and sunset eye phenomena. Direct X-ray examination of the shunt system was completely normal. The palpation of the shunt dome resulted the unfilling of pumping device. Computerised Tomography (CT) of the head revealed ventricular enlargement and periventricular oedema. The patient was hospitalised for shunt revision. The symptoms were spontaneously disappeared within 48 hours. The pumping device returned to normal refilling. Follow up CT showed small ventricular size and shape. This case indicates that the symptomatic intermittent occlusion of the proximal shunt catheter can be seen in the paediatric age group and the obstruction may continue for a certain period and spontaneously return to normal function with correlated clinical response. © 2009 OMU All rights reserved.