Metastatic Tuberculomas along a Nonfunctioning Ventricular Catheter

A unique case of tubercular meningitis, developing shunt complication, is being reported. We present a pediatric patient with disseminated tubercular granulomas along the ventricular catheter of a nonfunctional ventriculoperitoneal shunt.

VP Shunt Complications: Ten Years Experience at UDMNINAS

Ventriculo-Peritoneal shunt is significantly associated with complications like malfunction and infection. In this study, we aim to review our infection and malfunction rate. This is a retrospective review of charts of patients who underwent ventriculo-peritonealshunt at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Nepal between 2008 and 2018. Patients were interviewed via telephone for information regarding shunt complications in the form of malfunction, infection, and the need for revision. A total of 357 patients underwent ventriculoperitonealshunt over a period of 10 years. of patients was 37.08 years. There were224 males and133 females with M:F::1.7:1.265 patients were available over telephone for interview. 54 of 265 (20.37%) patients needed shunt revision. 32 (12.07%) of them had shunt malfunction. 21 (7.92%) of them had shunt infection. One (0.37%) patient had problems with over drainage. Shunt complications were proportionate in pediatric population as well. Shunt complication at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences is comparable to international data.

P105 Shunt migration in ventriculoperitoneal shunting: a comprehensive review of literature

ObjectivesThe mechanical shunt complication- shunt migration is roughly noted in 1 in 1000 patients with shunt. Most of the literature on shunt migration is case reports. In this narrative review we analyze about presentation, complications and management options for each site of shunt migration.DesignNarrative review.SubjectsIn total 239 articles were reviewed in this narrative review which includes a total of 396 shunt migrations.MethodsLiterature search was performed using PubMed Central for all articles containing the term Ventriculoperitoneal shunt migration. All articles published through 2016 were included in this review.ResultsSites of migration were – perforation of the bowel in 139 patients; abdominal wall (57); scrotum (55); chest (32); intracranial (30); cardiac/intravascular (28); genitourinary (15); breast (13); subgaleal (12) and miscellaneous (15).ConclusionsMigration to bowel, heart, intracranial and subgaleal space are associated with 20% chance of shunt dysfunction Any extrusion (irrespective of the site) where the shunt catheter is exposed to the external environment is associated with around 50% chance of shunt infection.