Proximalmigration of a lumboperitoneal shunt into the cerebello medullary cisterns

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dc.contributor.authorGezer, Burak.
dc.contributor.authorKarabagli, Hakan.
dc.contributor.authorKoktekir, Ender.
dc.contributor.authorSahinoglu, Mert.
dc.date.accessioned2020-03-26T20:20:26Z
dc.date.available2020-03-26T20:20:26Z
dc.date.issued2020
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Lumboperitoneal (LP) shunt is a type of treatment commonly used in the surgical treatment of pseudotumor cerebri, comorbid hydrocephalus, cerebrospinal fluid (CSF) fistula. Despite the promising results of the LP shunt blockage of %7 and %14 migration rate of complications have been reported. Migration can be rarely observed in the spinal subarachnoid space or even in the intracranial area. We report a case where the LP shunt migrated upward to the cerebellomedullary cisterns. Case Description: A 37-year-old female patient underwent lumboperitonel shunt surgery for pseudotumor cerebri. After the LP shunt surgery, the patient's complaints of headache and blurred vision disappeared. The patient admitted to polycyclic at the postoperative first month with neck pain and neck sucking sensation. Cerebellomedullar cysterna shunt tip was seen in brain CT. The patient was operated again and the proximal end of the shunt was lowered to Lumbar 1 level under C-Arm Scope device control. Then, we fixed the subcutaneous tissue of the shunt of the LP shunt with the help of a non-resorbable suture and stitches. Conclusions: LP shunt distal migration is more common, such proximal migrations are rarely reported in the literature. LP shunt displacement must be due to defective or insufficient anchoring devices of the LP shunt tube. We think that great care must be taken to fix the LP shunt properly with the help of suture collars with an unresorbable suture at three places to the subcutaneous tissue.en_US
dc.identifier.citationGezer, B., Karabagli, H., Koktekir, E., Sahinoglu, M. (2020). Proximalmigration of a Lumboperitoneal Shunt into the Cerebello Medullary Cisterns. Interdisciplinary Neurosurgery, 19, 1-4.
dc.identifier.doi10.1016/j.inat.2019.100604en_US
dc.identifier.issn2214-7519en_US
dc.identifier.pmid#YOKen_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.inat.2019.100604
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38587
dc.identifier.volume19en_US
dc.identifier.wosWOS:000505082400055en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorKarabagli, Hakan.
dc.institutionauthorKoktekir, Ender.
dc.institutionauthorSahinoglu, Mert.
dc.language.isoenen_US
dc.publisherELSEVIERen_US
dc.relation.ispartofINTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENTen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectHyrocephalusen_US
dc.subjectLumboperitonealen_US
dc.subjectMislgrationen_US
dc.subjectShunten_US
dc.titleProximalmigration of a lumboperitoneal shunt into the cerebello medullary cisternsen_US
dc.typeArticleen_US

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