Migration and Coiling of Peritoneal Catheter into the Subgaleal Space: A Very Rare Complication of Subgaleoperitoneal Shunt.
10.3340/jkns.2013.54.6.525
- Author:
Gi Taek YEE
1
;
Seong Rok HAN
;
Chan Young CHOI
Author Information
1. Department of Neurosurgery, Gil Medical Center, Gachon University, Incheon, Korea. gtyee@gilhospital.com
- Publication Type:Case Report
- Keywords:
Subgaleo-peritoneal shunt;
Migration;
Pseudomeningocele
- MeSH:
Adult;
Catheters*;
Cerebrospinal Fluid;
Humans;
Male;
Scalp;
Skull
- From:Journal of Korean Neurosurgical Society
2013;54(6):525-527
- CountryRepublic of Korea
- Language:English
-
Abstract:
Upward migration of the peritoneal catheter of a subgaleo-peritoneal (SP) shunt and coiling into the subgaleal space is an extremely rare complication of a SP shunt. A 32-year-old male patient visited our hospital presenting with a large skull defect due to a prior craniectomy performed elsewhere. The patient underwent a cranioplasty with methylmetacrylate, but subsequently developed progressive pseudomeningocele and subgaleal cerebrospinal fluid (CSF) collection. The patient underwent CSF diversion via a SP shunt. After SP shunting, the pseudomeningocele disappeared completely. Six months later, the patient presented with progressive scalp swelling. Skull X-ray showed migration and coiling of the distal catheter of the SP shunt. The patient was treated by removing the entire shunt catheter and the dura was covered with a subgaleal flap. We would like to report our experience with a very rare complication of subgaleo-peritoneal shunting.
