Top

Child's Nervous System

Published in:

01-04-2019 | Case Report

Atlanto-axial rotatory fixation complicating ventriculo-peritoneal shunt surgery: a case report and literature review

Authors: Costanza Zattra, Marco Paolo Schiariti, Emanuele La Corte, Morgan Broggi, Francesco Acerbi, Paolo Ferroli

Published in: Child's Nervous System | Issue 4/2019

Abstract

Introduction

Atlanto-axial rotatory fixation (AARF) is a rare complication of ventriculo-peritoneal shunt (VPS) surgery.

Case presentation

The authors present a unique case of AARF developing early after VP shunting, with persistent torticollis, a “cock-robin” head position, and a thick fibrous band along the catheter path. Due to refractoriness to conservative treatments, AARF, which can be an early-onset complication of VPS surgery, was resolved by removing the distal catheter along with the fibrous band encasing it.

Conclusion

Surgical removal of the fibrous band might be enough to solve such complication with no need of further surgical fusion procedures.

Hashimoto M, Yokota A, Urasaki E, Tsujigami S, Shimono M (2004) A case of abdominal CSF pseudocyst associated with silicone allergy. Childs Nerv Syst 20(10):761–764PubMed

Heary R, Reid P, Carmel P (2011) Atlantoaxial rotatory fixation after ventriculoperitoneal shunting. Neuropediatrics 42:197–199CrossRefPubMed

Hussain NS, Wang PP, James C, Carson BS, Avellino AM (2005) Distal ventriculoperitoneal shunt failure caused by silicone allergy. J Neurosurg 102(3):536–539CrossRefPubMed

Ishii K, Toyama Y, Nakamura M, Chiba K, Matsumoto M (2012) Management of chronic atlantoaxial rotatory fixation. Spine (Phila Pa 1976) 37:E278–E285CrossRef

Pang D, Li V (2004) Atlantoaxial rotatory fixation: part 1—biomechanics of normal rotation at the atlantoaxial joint in children. Neurosurgery 55:614–625CrossRefPubMed

Pang D, Li V (2005) Atlantoaxial rotatory fixation: part 2—new diagnostic paradigm and a new classification based on motion analysis using computed tomographic imaging. Neurosurgery 57:941–953CrossRef

Pang D, Li V (2005) Atlantoaxial rotatory fixation: part 3—a prospective study of the clinical manifestation, diagnosis, management, and outcome of children with atlantoaxial rotatory fixation. Neurosurgery 57:954–972CrossRef

Singh G, Kaif M, Ojha BK, Chandra A, Cronk K, Nakaji P (2011) Torticollis as a late complication of ventriculoperitoneal shunt surgery. J Clin Neurosci 18(6):865–866CrossRefPubMed

Title: Atlanto-axial rotatory fixation complicating ventriculo-peritoneal shunt surgery: a case report and literature review
Authors: Costanza Zattra
Marco Paolo Schiariti
Emanuele La Corte
Morgan Broggi
Francesco Acerbi
Paolo Ferroli
Publication date: 01-04-2019
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 4/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-3983-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Atlanto-axial rotatory fixation complicating ventriculo-peritoneal shunt surgery: a case report and literature review

Abstract

Introduction

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 4/2019

Tumor necrosis factor alpha and interleukin-1 beta levels in cerebrospinal fluid examination for the diagnosis of ventriculoperitoneal shunt-related ventriculitis

Vertebral artery segment at the suboccipital dural penetration site: an anatomical study using magnetic resonance imaging

Hypertrophic pachymeningitis: idiopathic or secondary?

Mild trigonocephaly associated with microcephaly: surgical outcomes for 15 cases

Moyamoya syndrome as a manifestation of varicella-associated cerebral vasculopathy—case report and review of literature

A novel type of C11orf95-LOC-RELA fusion in a grade II supratentorial ependymoma: report of a case with literature review