Case report: CSF hypotension secondary to a free syringo-subarachnoid-peritoneal shunt.

Autor: Johnson AR; Department of Neurosurgery, Hospital de Pediatria Juan P. Garrahan, Buenos Aires, Argentina. agustinrj86@gmail.com., Rugilo CA; Department of Radiology, Hospital de Pediatria Juan P. Garrahan , Buenos Aires, Argentina., Argañaraz RA; Department of Neurosurgery, Hospital de Pediatria Juan P. Garrahan, Buenos Aires, Argentina.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2024 Dec; Vol. 40 (12), pp. 4365-4368. Date of Electronic Publication: 2024 Sep 10.
DOI: 10.1007/s00381-024-06613-3
Abstrakt: Introduction: Syringomyelia is present in 40% of pediatric patients with Chiari malformation. Typically treated with posterior fossa decompression, some cases require further intervention such as syrinx shunting.
Case Report: We report a 16-year-old female with Chiari type 1 malformation and syringomyelia who underwent posterior fossa decompression and subsequent free syringo-subarachnoid-peritoneal shunting. The patient developed symptoms of CSF overdrainage, and imaging indicated CSF hypotension. A distal catheter ligation temporarily improved symptoms, but eventually, a programmable ventricular shunt was necessary due to shunt dependence.
Conclusion: This case highlights the rare complication of CSF overdrainage from syrinx shunting and the importance of shunt selection considerations.
Competing Interests: Declarations. Consent to participate: The patient and patient’s family has given consent for the creation of this case report. Conflict of interests: The authors declare no competing interests.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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