World neurosurgery · 2020
An Unusual But Possible Complication After Endoscopic Third Ventriculostomy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Gorgoglione Nicola, Fazzari Elena, Alafaci Concetta, Vitulli Francesca, Zaccaria Rossella, Angileri Filippo F, Germanò Antonino, Esposito Felice
Аннотация
BACKGROUND: We present an unusual but possible complication after ETV for the treatment of acute hydrocephalus due to malfunction of a previously implanted V-P shunt.
CASE DESCRIPTION: A 12-year-old male patient was urgently operated upon by means of an endoscopic third-ventriculostomy and the positioning of a temporary external ventricular catheter because of the malfunction of a previously implanted V-P shunt; immediately after the operation, the tip of the external catheter caused an obstruction of the ostomy, which was resolved with the withdrawn of catheter for circa 1 cm, left closed and ultimately removed after 4 days. The patient did not present any further symptom and remained shunt-free at the last 2-year follow-up visit.
CONCLUSIONS: One should consider such occurrence in cases of early ETV failure when a ventricular catheter is left in situ, even though temporarily.
CASE DESCRIPTION: A 12-year-old male patient was urgently operated upon by means of an endoscopic third-ventriculostomy and the positioning of a temporary external ventricular catheter because of the malfunction of a previously implanted V-P shunt; immediately after the operation, the tip of the external catheter caused an obstruction of the ostomy, which was resolved with the withdrawn of catheter for circa 1 cm, left closed and ultimately removed after 4 days. The patient did not present any further symptom and remained shunt-free at the last 2-year follow-up visit.
CONCLUSIONS: One should consider such occurrence in cases of early ETV failure when a ventricular catheter is left in situ, even though temporarily.