Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Child's Nervous System
Published in: Child's Nervous System 10/2006

01-10-2006 | Review Paper

Nonfunctional abdominal complications of the distal catheter on the treatment of hydrocephalus: an inflammatory hypothesis?

Experience with six cases

Authors: Humberto Belem de Aquino, Edmur Franco Carelli, Antonio Guilherme Borges Neto, Carlos Umberto Pereira

Published in: Child's Nervous System | Issue 10/2006

Login to get access

Abstract

Introduction

The peritoneal cavity is the most common site of cerebrospinal fluid absorption in hydrocephalus treatment. Many distal catheter complications are the result of this type of treatment, and these have been extensively described in the neurosurgical literature.

Materials and methods

In our study, six cases of distal catheter migration with visceral perforation and/or extrusion are presented: three through the umbilicus, two through the scrotum, and one through the anus. An extensive review of the literature was performed.

Results

The studies of peritoneal dialysis models for the treatment of chronic renal failure patients provide important data about solute absorption in the peritoneal cavity and reactivity of the peritoneal membrane.

Conclusion

This model, when compared to distal catheter complications on a ventriculoperitoneal (VP) shunt, presents similarities that could help understand the mechanism of the nonfunctional complications of the distal VP catheter (complication with functional shunt), providing valuable data to support an inflammatory mechanism.
Literature
1.
Abu-Dalu K, Pode D, Hadani M, Sahar A (1987) Colonic complications of ventriculoperitoneal shunts. Neurosurgery 13(2):167–169CrossRef
2.
Adegbite AB, Khan M (1982) Role of protein content in CSF ascitis following ventriculoperitoneal shunting. J Neurosurg 57:423–425PubMed
3.
Adeloye A (1973) Spontaneous extrusion of the abdominal tube through the umbilicus complicating peritoneal shunt for hydrocephalus. J Neurosurg 38:758–760PubMed
4.
Alexander SR (1994) Peritoneal dialysis. In: Holliday MA, Barratt TM, Avner ED (eds) Pediatric nephrology, 3rd edn. Williams & Wilkins, Baltimore, pp 1339–1353
5.
Alonso-Vanegas M, Alvarez JL, Delgado L, Mendizábal R, Jiménez JL, Sanches-Cabrera JM (1994) Gastric perforation due to ventriculoperitoneal shunt. Pediatr Neurosurg 21:192–194PubMed
6.
Antunes ACM, Ribeiro TR (1975) Spontaneous umbilical fístula from ventriculoperitoneal shunt drainage. J Neurosurg 43:481–482PubMed
7.
Aronyk KE (1993) The history and classification of hydrocephalus. Neurosurg Clin N Am 4(4):599–609PubMed
8.
Bouch AL, Hermelin E, Sainte-Rose C, Sgouros S (1998) Mechanical dysfunction of ventriculoperitoneal shunts caused by calcification of silicone rubber catheter. J Neurosurg 88:975–982PubMedCrossRef
9.
Burkart JM (2002) Peritoneal dialysis. In: Brenner BM, Rectors FC Jr (eds) The kidney, vol 2, 5th edn. Saunders, Philadelphia, pp 2454–2517
10.
Cuka GM, Helbusch LC (1995) Fractures of the peritoneal catheter of cerebrospinal fluid shunts. Pediatr Neurosurg 22:101–103PubMed
11.
Del Bigio MR (1998) Biological reaction to cerebrospinal fluid shunts devices: a review of the cellular pathology. Neurosurgery 42(2):319–325CrossRefPubMed
12.
Drake JM, Sainte-Rose C (1995) The shunt book. Blackwell, Cambridge, pp 123–192
13.
Elisevich K, Mattar AG, Cheeseman F (1994) Biodegradation of distal shunt catheter. Pediatr Neurosurg 21:71–76PubMedCrossRef
14.
Er°ahin Y, Mutluer S, Tekeli G (1996) Abdominal cerebrospinal fluid pseudocysts. Childs Nerv Syst 12:755–758PubMed
15.
Fermin S, Fernández-Guerra RA, Sureda PJ (1996) Extrusion of peritoneal catheter through the mouth. Childs Nerv Syst 12:553–555CrossRefPubMed
16.
Gil Z, Beni-Adani L, Siomin V, Nagar H, Dvir R, Constantini S (2001) Ascitis following ventriculoperitoneal shunting in children with chiasma-hypothalamic glioma. Childs Nerv Syst 17:395–398CrossRefPubMed
17.
Giuffrè R, Di Lorenzo N (1975) Two unusual complications of ventriculo-peritoneal shunt in the same infant. Surg Neurol 3:23–24PubMed
18.
Gelabert González M (1987) Extrusion of peritoneal catheter through the anus. Childs Nerv Syst 3:183–184CrossRefPubMed
19.
Guevara JA, La Torre J, Denoya CD, Zúccaro G (1981) Microscopic studies in shunts for hydrocephalus. Childs Brain 8:193–284CrossRef
20.
Guevara JA, Zúccaro G, Trevisán A, Denoya CD (1987) Bacterial adhesion to cerebrospinal fluid shunts. J Neurosurg 67:438–445PubMed
21.
Johnson MC, Maxwell MS (1995) Delayed intrapleural migration of a ventriculo-peritoneal shunt. Childs Nerv Syst 11:348–350CrossRefPubMed
22.
Jörres A, Ludat K, Sander K, Dunkel K, Lorenz F, Keck H, Frei U, Gahl GM (1996) The peritoneal fibroblast and the control of peritoneal inflammation. Kidney Int 50(Suppl 56):S22–S27
23.
Kalousdian S, Karlan MS, Willians MA (1998) Silicone elastomer cerebrospinal fluid shunt systems. Neurosurgery 42(4):887–892CrossRefPubMed
24.
25.
Kwork CK, Yes CP, Wen HL (1989) Bilateral scrotal migration catheter: a rare complication of ventriculoperitoneal shunt. Surg Neurol 31:330–331CrossRefPubMed
26.
Lortat-Jacob S et al (1984) Complications abdominals des shunts ventriculo-péritoneaux chez l’enfant: 65 observations. Chir Pediatr 25:17–21PubMed
27.
Martin LM, Donaldson-Hugh ME, Cameron MM (1997) Cerebrospinal fluid hydrothorax caused by transdiaphragmatic migration of a ventriculo-peritoneal catheter through the foramen of Bochdalek. Childs Nerv Syst 13:282–284CrossRefPubMed
28.
McAulay D, Dick AC, Paterson A (2001) Peritoneography in the assessment of peritoneal cerebrospinal fluid absorption. Neurosurgery 49(5):1267–1269CrossRefPubMed
29.
Mozingo JR, Cauthen JC (1974) Vaginal perforation by a Raimondi peritoneal catheter in a adult. Surg Neurol 2:195–196PubMed
30.
Nagulic M, Djordjevic M, Samardzie M (1996) Peritoneo-vulvar catheter extrusion after shunt operation. Childs Nerv Syst 12(4):222–223CrossRefPubMed
31.
Nolph KD (1991) Peritoneal dialysis. In: Brenner BM, Rector FC Jr (eds) The kidney, vol 2, 4th edn. Saunders, Philadelphia, pp 2299–2335
32.
Ramani PS (1974) Extrusion of abdominal catheter of ventriculoperitoneal shunt into the scrotum. J Neurosurg 40:772–773PubMed
33.
Rubin RC, Ghatak NR Visudhipan P (1972) Asymptomatic perforated viscus and gram-negative ventriculitis as a complication of valve-regulated ventriculoperitoneal shunts. J Neurosurg 37:616–618PubMedCrossRef
34.
Salomão JF, Leibinger RD (1999) Abdominal pseudocysts complicating CSF shunting in infant and children: report of 18 cases. Pediatr Neurosurg 31:274–278CrossRefPubMed
35.
Schulhof LA, Worth M, Kalsbeck JE (1975) Bowel perforation due to peritoneal shunt: a report of seven cases and review of the literature. Surg Neurol 3:265–269PubMed
36.
Snow RB, Lavyne MH, Fraser RAR (1986) Colonic perforation by ventriculoperitoneal shunts. Surg Neurol 25:173–177CrossRefPubMed
37.
Wilson CB, Bertan V (1966) Perforation of the bowel complicating peritoneal shunt for hydrocephalus. Am Surg 32(9):601–603PubMed
Metadata
Title
Nonfunctional abdominal complications of the distal catheter on the treatment of hydrocephalus: an inflammatory hypothesis?
Experience with six cases
Authors
Humberto Belem de Aquino
Edmur Franco Carelli
Antonio Guilherme Borges Neto
Carlos Umberto Pereira
Publication date
01-10-2006
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 10/2006
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-005-0025-z

Other articles of this Issue 10/2006

Child's Nervous System 10/2006 Go to the issue

Original Paper

Childhood’s gliosarcomas: pathological and therapeutical considerations on three cases and critical review of the literature

Case Report

Conventional MRI and MR spectroscopy in nonclassical mitochondrial disease: report of three patients with mitochondrial DNA deletion

Original Paper

Pediatric golf-related head injuries

Case Report

Scoliosis in a child with Chiari I malformation and the absence of syringomyelia: case report and a review of the literature

Letter to the Editor

Aplasia cutis congenita of the scalp: is there a better treatment strategy?

Original Paper

Early decompressive craniectomy may be effective in the treatment of refractory intracranial hypertension after traumatic brain injury