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Journal of the Korean Child Neurology Society 2012;20(1):33-38.
Published online March 30, 2012.
Asymptomatic Fracture of a Distal Shunt Catheter after Ventriculoperitoneal Shunt for Post-traumatic Hydrocephalus.
Won Bae Seung, Yong Seok Park
Department of Neurosurgery, Gospel Hospital, Kosin University College of Medicine, Busan, South Korea. ysparkns@kosinmed.or.kr
Abstract
A fracture of a distal shunt catheter is a rare complication. In many cases of shunt failure, shunt revision should be performed to prevent the development of hydrocephalus. However, the question of whether to operate on asymptomatic patients remains to be answered. Our patient received a ventriculoperitoneal shunt due to post-traumatic hydrocephalus, and his symptoms improved. Abdominal x-ray revealed a fracture of the distal shunt catheter at the 5- year follow-up. However, the patient was asymptomatic. In this case, the patient improved without shunt revision during the year after the fracture of the distal shunt catheter.
Key Words: Hydrocephalus, Shunt disconnection, Shunt malfunction, Ventriculoperitoneal shunt
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