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

Autor: Eva Vister, Sebastiaan Hammer, Rudolf W.M. Keunen, Astrid L. Rijssenbeek, Niels A. van der Gaag
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Neurology, Vol 13, Iss 2, Pp 312-317 (2021)
Druh dokumentu: article
ISSN: 1662-680X
75629577
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: Directory of Open Access Journals
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