Alpha 2.0
Login Register
» Articles » PMID: 7566533

A Long-term Complication of Burying a Shunt Valve in the Skull

Overview
Journal Neurosurg Rev
Specialty Neurosurgery
Date 1995 Jan 1
PMID 7566533
Citations 3
Authors
A Ammar
M Nasser
Affiliations
Soon will be listed here.
Abstract

One of the most common causes of shunt malfunction is infection; a major contributing factor to this infection in neonates is scalp necrosis over the valve site. One of the methods recommended to avoid this requires the burying of the valve in the skull bone. We present a case of a long-term complication from this procedure: the shunt slowly disconnected, over a prolonged period, leading to the formation of the fibrous tunnel which enabled the shunt to function intermittently. We recommend that the practice of burying the shunt into the skull bone is be reconsidered.

Citing Articles

Approaches to ventriculoperitoneal shunt scalp erosion: countersinking into the calvarium. Illustrative case.

Brunozzi D, LoPresti M, McGrath J, Alden T J Neurosurg Case Lessons. 2023; 6(22.

PMID: 38011691 PMC: 10684058. DOI: 10.3171/CASE23310.

Surgical drain induced subgaleal hematomas and skin necrosis in pediatrics: a case report.

Wardana G, Suryaningtyas W, Parenrengi M Childs Nerv Syst. 2022; 39(2):547-551.

PMID: 35916968 DOI: 10.1007/s00381-022-05614-4.

First-in-Human Experience With Integration of a Hydrocephalus Shunt Device Within a Customized Cranial Implant.

Gordon C, Wolff A, Santiago G, Liebman K, Veznedaroglu E, Vrionis F Oper Neurosurg (Hagerstown). 2019; 17(6):608-615.

PMID: 30753624 PMC: 6855953. DOI: 10.1093/ons/opz003.

References
1.
Hirsch J . Surgery of hydrocephalus: past, present and future. Acta Neurochir (Wien). 1992; 116(2-4):155-60. DOI: 10.1007/BF01540869. View
2.
HAINES S, Taylor F . Prophylactic methicillin for shunt operations: effects on incidence of shunt malfunction and infection. Childs Brain. 1982; 9(1):10-22. DOI: 10.1159/000120031. View
3.
McCullough D, KANE J, Presper J, Wells M . Antibiotic prophylaxis in ventricular shunt surgery. I. Reduction of operative infection rates with methicillin. Childs Brain. 1980; 7(4):182-9. View
4.
Shapiro S, Boaz J, Kleiman M, Kalsbeck J, Mealey J . Origin of organisms infecting ventricular shunts. Neurosurgery. 1988; 22(5):868-72. View
5.
Ammar A . Tissue compatibility of different intracranial implant materials: in-vivo and in-vitro studies. Acta Neurochir (Wien). 1984; 72(1-2):45-59. DOI: 10.1007/BF01406813. View