Migration and Coiling of Peritoneal Catheter into the Subgaleal Space : A Very Rare Complication of Subgaleoperitoneal Shunt
- Authors
- Yee, Gi-Taek; Han, Seong-Rok; Choi, Chan-Young
- Issue Date
- Dec-2013
- Publisher
- KOREAN NEUROSURGICAL SOC
- Keywords
- Subgaleo-peritoneal shunt; Migration; Pseudomeningocele
- Citation
- JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.54, no.6, pp.525 - 527
- Journal Title
- JOURNAL OF KOREAN NEUROSURGICAL SOCIETY
- Volume
- 54
- Number
- 6
- Start Page
- 525
- End Page
- 527
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/14106
- DOI
- 10.3340/jkns.2013.54.6.525
- ISSN
- 2005-3711
- Abstract
- Upward migration of the peritoneal catheter of a subgaleo-peritoneal (SP) shunt and coiling into the subgaleal space is an extremely rare complication of a SP shunt. A 32-year-old male patient visited our hospital presenting with a large skull defect due to a prior craniectomy performed elsewhere. The patient underwent a cranioplasty with methylmetacrylate, but subsequently developed progressive pseudomeningocele and subgaleal cerebrospinal fluid (CSF) collection. The patient underwent CSF diversion via a SP shunt. After SP shunting, the pseudomeningocele disappeared completely. Six months later, the patient presented with progressive scalp swelling. Skull X-ray showed migration and coiling of the distal catheter of the SP shunt. The patient was treated by removing the entire shunt catheter and the dura was covered with a subgaleal flap. We would like to report our experience with a very rare complication of subgaleo-peritoneal shunting.
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