Case Report of a Post-Traumatic Hydrocephalus Patient: Ventriculo-Vesicle Shunt With a Review of the Literature.
Gyubin LeeKum WhangSung-Min ChoJong Yeon KimByeongoh KimYeon Gyu JangJong Wook ChoiPublished in: Korean journal of neurotrauma (2023)
Post-traumatic hydrocephalus (PTH) is treated through cerebrospinal fluid (CSF) diversion, typically through ventriculoperitoneal shunt (VPS) or other bypass techniques. As these shunts are associated with significant complications and high revision rates in certain populations, it is important to tailor a patient's shunt procedure according to their medical history and complications. Herein, we report the case of a 30-year-old man with PTH following a traffic accident on a motorcycle. VPS was chosen as the method of treatment but required multiple revisions and replacements due to persistent complications such as post-operative infection, shunt obstruction and abdominal problem. As the patient's heart failure and pleural effusion rendered both ventriculopleural and ventriculoatrial shunt not feasible, it was decided to move the shunt to the bladder (ventriculo-vesicle shunt [VVS]) in cooperation with a urologist. Follow-up examinations after about 3 months showed a decrease in ventricle size, improved hydrocephalus, and no complications such as urinary infection or bladder stone formation. In cases where the patient's underlying conditions, such as heart failure and pleural effusion, make it unsuitable to choose the pleural cavity or atrium as non-peritoneal spaces, VVS can be a suitable option for continuous CSF drainage when complications have occurred with the previous VPS.
Keyphrases
- pulmonary artery
- case report
- cerebrospinal fluid
- heart failure
- coronary artery
- pulmonary hypertension
- risk factors
- pulmonary arterial hypertension
- subarachnoid hemorrhage
- healthcare
- spinal cord injury
- air pollution
- total knee arthroplasty
- atrial fibrillation
- minimally invasive
- brain injury
- newly diagnosed
- inferior vena cava
- ultrasound guided
- left atrial appendage
- robot assisted
- vena cava
- urinary tract