Overshunting-Related Cervical Myelopathy Causing Progressive Gait Disturbance: A Case Report

Autor:	Sebastiaan Hammer, Astrid L. Rijssenbeek, Niels A van der Gaag, Eva Vister, Rudolf W.M. Keunen
Rok vydání:	2021
Předmět:	medicine.medical_specialty Ataxia Gait Disturbance business.industry Venous plexus medicine.disease intracranial hypotension Surgery Shunting Stenosis Myelopathy myelopathy medicine ventriculoperitoneal shunt gait disturbance venous plexus Neurology. Diseases of the nervous system Neurology (clinical) medicine.symptom RC346-429 Complication Intracranial Hypotension business Single Case − General Neurology
Zdroj:	Case Reports in Neurology, Vol 13, Iss 2, Pp 312-317 (2021) Case Reports in Neurology
ISSN:	1662-680X
DOI:	10.1159/000514551
Popis:	A complication of ventriculoperitoneal (VP) shunting is overdrainage or overshunting of cerebrospinal fluid, which can cause formation of hygroma but in rare cases also cervical myelopathy at a later stage. In this article, we describe a very late complication of VP shunting. We present a 75-year-old man, previously given a VP shunt at the age of 46, who developed a progressive gait disturbance and ataxia of the limbs after 27 years. MRI showed a cervical stenosis and myelopathy as a result of venous engorgement due to chronic overshunting of the VP shunt. Revision of the VP shunt resulted in complete resolution of his neurological symptoms and the cervical myelopathy. Cervical myelopathy due to chronic overshunting is a rare and potentially very late complication of a VP shunt. Our case underlines the importance of awareness of this complication while proper treatment can reverse the associated symptoms fully.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bdcb17dd0ccff42249b95c207c34e571 https://doi.org/10.1159/000514551 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.