Repository logo
 

Use of CSF infusion studies to unblock occluded hydrocephalus ventricular shunt catheters: a preliminary report of two patients.

Accepted version
Peer-reviewed

No Thumbnail Available

Type

Article

Change log

Authors

Nabbanja, Eva 
Pickard, John Douglas 
Lalou, Afroditi Despina  ORCID logo  https://orcid.org/0000-0003-3768-8681
Czosnyka, Zofia Helena 

Abstract

Two patients with ventriculoperitoneal shunts presented with symptoms of raised intracranial pressure indicative of possible shunt malfunction. During investigation, to eliminate this possibility, cerebral spinal fluid infusion studies were performed, which indicated proximal occlusion of the shunts in both cases. Retrograde flush of the ventricular catheter was performed during temporary compression of the siphon-control device, a manoeuvre which blocks distal flow. After the use of this technique, both patients' symptoms improved and they have remained symptom-free for over 2 years. This case report validates the role that infusion studies can play in clearing a blocked ventricular catheter shunt.

Description

Keywords

Hydrocephalus, Medical-surgical Nursing, Neuroimaging, Perioperative Care, Spinal Cord, Adult, Brain, Catheter Obstruction, Female, Humans, Hydrocephalus, Intracranial Hypertension, Isotonic Solutions, Male, Ringer's Lactate, Tomography, X-Ray Computed, Ventriculoperitoneal Shunt

Journal Title

BMJ Case Rep

Conference Name

Journal ISSN

1757-790X
1757-790X

Volume Title

2018

Publisher

BMJ
Sponsorship
Medical Research Council (G0001237)
Medical Research Council (G9439390)
Medical Research Council (G0600986)
Medical Research Council (G0600986/1)