J Med Life Sci > Volume 6(5); 2009 > Article
Journal of Medicine and Life Science 2009;6(5):376-378.
DOI: https://doi.org/10.22730/jmls.2009.6.5.376    Published online May 27, 2009.
뇌실복강간단락의 근위부 도관골절:증례보고
이창섭, 심기범, 박중철, 허지순
제주대학교 의학전문대학원신경외과학교실
Proximal catheter facture of Vvntrieuloperitoneal sunt: Case report
Chang Sub Lee, Ki Bum Sim, Jung Cheol Park, Ji Soon Huh
Department of Neurosurgery, Jeju National University School of Medicine, Jeju, Korea
Correspondence:  Ki Bum Sim, Email: kibumsim@gmail.com
Ten-month-old boy presented generalized tonic clonic seizure and somnolence. Six months earlier, he underwent ventriculoperitoneal shunt for treating hydrocephalus. Brain computed tomography scan showed a free Floating catheter in the right lateral ventricle and huge porencephalic cysts. On operative findings, proximal catheter was broken at the point where the right angle clip was placed on the burr hole. The fractured catheter showed no degenerative changes such as calcifications. Redundancy of the proximal catheter, motion around the reservoir and loose periosteal securing for the reservoir might responsible for the slippage of the catheter out of the right angle clip and the fracture of the proximal catheter.
Key Words: Fracture; Proximal catheter; Right angle clip; Ventriculoperitoneal shunt
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