Use of CSF infusion studies to unblock occluded hydrocephalus ventricular shunt catheters: a preliminary report of two patients.
Accepted version
Peer-reviewed
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Repository DOI
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Authors
Nabbanja, Eva
Pickard, John Douglas
Lalou, Afroditi Despina 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
1757-790X
Volume Title
2018
Publisher
BMJ
Publisher DOI
Sponsorship
Medical Research Council (G0001237)
Medical Research Council (G9439390)
Medical Research Council (G0600986)
Medical Research Council (G0600986/1)
Medical Research Council (G9439390)
Medical Research Council (G0600986)
Medical Research Council (G0600986/1)