Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve

Kota Sato, Toru Yamashita, Keichiro Tsunoda, Mami Takemoto, Nozomi Hishikawa, Jinwei Shang, Yasuyuki Ohta, Ken Kuwahara, Takao Yasuhara, Isao Date, Koji Abe

Research output: Contribution to journalArticle

Abstract

The primary treatment for hydrocephalus is ventricular shunt placement, and a programmable valve is widely used for ventriculoperitoneal (VP) shunt surgery to reduce over/under drainage of cerebrospinal fluid (CSF). Here, we report a rare case of a patient who developed successive VP shunt malfunction causing spastic muscle weakness in extremities associated cervical epidural venous distension and compressive myelopathy due to over-drainage of CSF through a defective VP shunt valve a decade after the initial shunt was placed. One should be aware and cognizant of this complication and carefully follow the symptoms and potentially utilize brain MRI with and without contrast to look at over drainage stigmata to avoid the development of neurological complications.

Original languageEnglish
Pages (from-to)183-185
Number of pages3
JournalInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
Volume14
DOIs
Publication statusPublished - Dec 1 2018

Keywords

  • Cervical myelopathy
  • Hydrocephalus
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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