Journal Information
Vol. 17. Issue 5.
Pages 450-452 (January 2006)
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Vol. 17. Issue 5.
Pages 450-452 (January 2006)
Retrograde migration of ventriculoperitoneal shunt to the neck. Case report
Migración retrógrada del catéter peritoneal de una válvula de hidrocefalia al cuello. Descripción de un caso
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M. Felipe-Murcia*, M.J. Almagro*, J.F. Martínez-Lage**,
* Servicio Regional de Neurocirugía. Hospital Universitario Virgen de la Arrixaca
** Laboratorio de Neurología y Neurocirugía Experimental (Grupo NYNE). Facultad de Medicina. Murcia
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Summary

We report a patient, given a ventriculoperitoneal shunt at the neonatal period, who presented with a painless subcutaneous mass on his neck. Plain radiographs of the cervical region showed that the swelling was made up by a migrated and coiled peritoneal catheter. We briefly discuss the proposed mechanism for this complication and suggest that this occurrence must be taken into account at the time of evaluating a patient with shunt malfunction.

Key words:
Retrograde migration of shunts
CSF shunt complications
Ventriculoperitoneal shunt
Hydrocephalus
Resumen

Describimos el caso de un adulto que había sido tratado de recién nacido mediante la colocación de una válvula ventriculoperitoneal que se presentó con una tumoración indolora en el cuello. La radiografía simple demostró que la masa estaba formada por el catéter peritoneal que había emigrado cranealmente y se había enrollado en el subcutáneo. Discutimos brevemente los posibles mecanismos para explicar esta complicación y sugerimos que esta posibilidad sea tenida en cuenta a la hora de valorar un paciente con malfunción de una derivación de LCR.

Palabras clave:
Migración retrógrada de las válvulas
Complicaciones de las derivaciones de LCR
Derivación ventriculoperitoneal
Hidrocefalia

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