Journal of neurosurgery. Case lessons · 2024
Early postoperative lumbar catheter severing in a lumboperitoneal shunt due to bite-off by the spinous processes following a fall on the buttocks: illustrative case.
СтатьяНазвание и аннотация: Перевод в очереди
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Munakata Ryoji, Horiuchi Kazuomi, Watanabe Zenichiro, Segawa Banri, Kobayashi Yuta, Kameno Rikiya, Onuki Akinori, Fujimori Daichi, Oinuma Masahiro, Watanabe Kazuo
Аннотация
BACKGROUND: Rupture of the lumbar catheter in lumboperitoneal (LP) shunts is rare and typically occurs due to long-term mechanical stress. The authors describe an unusual case of early postoperative lumbar catheter severing after a fall on the buttocks.
OBSERVATIONS: A 78-year-old woman underwent LP shunt placement for communicating hydrocephalus after aneurysmal subarachnoid hemorrhage. The lumbar catheter was inserted via a median approach, and the postoperative course was uneventful. However, 2 months after the LP shunt surgery, she accidentally fell on her buttocks in the hospital ward. Radiography showed a rupture of the lumbar catheter due to the shearing force caused by compression of the spinous processes from the impact of the fall.
LESSONS: In patients who have undergone catheter placement via a median approach, even within a short period after LP shunt placement, the lumbar catheter that has deteriorated due to "pinch-off" can rupture due to "bite-off" by the spinous processes following a fall on the buttocks. https://thejns.org/doi/10.3171/CASE24509.
OBSERVATIONS: A 78-year-old woman underwent LP shunt placement for communicating hydrocephalus after aneurysmal subarachnoid hemorrhage. The lumbar catheter was inserted via a median approach, and the postoperative course was uneventful. However, 2 months after the LP shunt surgery, she accidentally fell on her buttocks in the hospital ward. Radiography showed a rupture of the lumbar catheter due to the shearing force caused by compression of the spinous processes from the impact of the fall.
LESSONS: In patients who have undergone catheter placement via a median approach, even within a short period after LP shunt placement, the lumbar catheter that has deteriorated due to "pinch-off" can rupture due to "bite-off" by the spinous processes following a fall on the buttocks. https://thejns.org/doi/10.3171/CASE24509.