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Case ReportCASE REPORTS
Open Access

Ventriculo-sagittal sinus shunt malfunction. Causes of failure, avoidance, and alternatives

Sherif M. Elwatidy
Neurosciences Journal April 2009, 14 (2) 172-174;
Sherif M. Elwatidy
Division of Neurosurgery, King Khalid University Hospital, College of Medicine, King Saud University, PO Box 7805 (37), Riyadh 11472, Saudi Arabia. Tel. +966 (1) 4671575. Fax. +966 (1) 4679493. E-mail: [email protected]
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Abstract

This case report highlights causes of failure of the ventriculo-sagittal sinus (V-S) shunt and precautions to avoid them. We present, a 14-year-old girl, a case of post-hemorrhagic hydrocephalus with multiple revisions of ventriculo-peritoneal (V-P) and ventriculo-atrial (V-A) shunts. She developed malfunctioned V-S shunt, and ventriculitis that was complicated with massive cerebellar and brain stem infarction and the patient died. To avoid malfunction, a cardiac catheter with side slits should be used, magnetic resonance angiography is recommended before shunt placement to check the patency of the sinus, and the pressure in the superior sagittal sinus should be measured at the time of surgery. In patients with problematic distal catheters, direct placement of the catheter into the right atrium using thoracoscope could be an alternative to gall bladder or ureter shunts.

  • Copyright: © Neurosciences

Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.

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Neurosciences Journal: 14 (2)
Neurosciences Journal
Vol. 14, Issue 2
1 Apr 2009
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Ventriculo-sagittal sinus shunt malfunction. Causes of failure, avoidance, and alternatives
Sherif M. Elwatidy
Neurosciences Journal Apr 2009, 14 (2) 172-174;

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Ventriculo-sagittal sinus shunt malfunction. Causes of failure, avoidance, and alternatives
Sherif M. Elwatidy
Neurosciences Journal Apr 2009, 14 (2) 172-174;
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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