Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve
The primary treatment for hydrocephalus is ventricular shunt placement, and a programmable valve is widely used for ventriculoperitoneal (VP) shunt surgery to reduce over/under drainage of cerebrospinal fluid (CSF). Here, we report a rare case of a patient who developed successive VP shunt malfuncti...
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Elsevier
2018-12-01
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| Series: | Interdisciplinary Neurosurgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751918300082 |
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doaj-ce471b42ec3e4df7945582a65a65fc0f2020-11-25T00:37:55ZengElsevierInterdisciplinary Neurosurgery2214-75192018-12-0114183185Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valveKota Sato0Toru Yamashita1Keichiro Tsunoda2Mami Takemoto3Nozomi Hishikawa4Jinwei Shang5Yasuyuki Ohta6Ken Kuwahara7Takao Yasuhara8Isao Date9Koji Abe10Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurosurgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurosurgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurosurgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, JapanDepartment of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikatacho, Kitaku, Okayama 700-8558, Japan; Corresponding author at: Department of Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmacy, 2-5-1 Shikata-cho, Okayama 700-8558, Japan.The primary treatment for hydrocephalus is ventricular shunt placement, and a programmable valve is widely used for ventriculoperitoneal (VP) shunt surgery to reduce over/under drainage of cerebrospinal fluid (CSF). Here, we report a rare case of a patient who developed successive VP shunt malfunction causing spastic muscle weakness in extremities associated cervical epidural venous distension and compressive myelopathy due to over-drainage of CSF through a defective VP shunt valve a decade after the initial shunt was placed. One should be aware and cognizant of this complication and carefully follow the symptoms and potentially utilize brain MRI with and without contrast to look at over drainage stigmata to avoid the development of neurological complications. Keywords: Hydrocephalus, Ventriculoperitoneal shunt, Cervical myelopathyhttp://www.sciencedirect.com/science/article/pii/S2214751918300082 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Kota Sato Toru Yamashita Keichiro Tsunoda Mami Takemoto Nozomi Hishikawa Jinwei Shang Yasuyuki Ohta Ken Kuwahara Takao Yasuhara Isao Date Koji Abe |
| spellingShingle |
Kota Sato Toru Yamashita Keichiro Tsunoda Mami Takemoto Nozomi Hishikawa Jinwei Shang Yasuyuki Ohta Ken Kuwahara Takao Yasuhara Isao Date Koji Abe Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve Interdisciplinary Neurosurgery |
| author_facet |
Kota Sato Toru Yamashita Keichiro Tsunoda Mami Takemoto Nozomi Hishikawa Jinwei Shang Yasuyuki Ohta Ken Kuwahara Takao Yasuhara Isao Date Koji Abe |
| author_sort |
Kota Sato |
| title |
Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve |
| title_short |
Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve |
| title_full |
Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve |
| title_fullStr |
Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve |
| title_full_unstemmed |
Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve |
| title_sort |
cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve |
| publisher |
Elsevier |
| series |
Interdisciplinary Neurosurgery |
| issn |
2214-7519 |
| publishDate |
2018-12-01 |
| description |
The primary treatment for hydrocephalus is ventricular shunt placement, and a programmable valve is widely used for ventriculoperitoneal (VP) shunt surgery to reduce over/under drainage of cerebrospinal fluid (CSF). Here, we report a rare case of a patient who developed successive VP shunt malfunction causing spastic muscle weakness in extremities associated cervical epidural venous distension and compressive myelopathy due to over-drainage of CSF through a defective VP shunt valve a decade after the initial shunt was placed. One should be aware and cognizant of this complication and carefully follow the symptoms and potentially utilize brain MRI with and without contrast to look at over drainage stigmata to avoid the development of neurological complications. Keywords: Hydrocephalus, Ventriculoperitoneal shunt, Cervical myelopathy |
| url |
http://www.sciencedirect.com/science/article/pii/S2214751918300082 |
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