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

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

Fingerprint

Cerebrospinal Fluid Shunts
Ventriculoperitoneal Shunt
Spinal Cord Compression
Christianity
Muscle Spasticity
Muscle Weakness
Hydrocephalus
Drainage
Extremities
Brain
Cerebrospinal Fluid Leak
Therapeutics

Keywords

  • Cervical myelopathy
  • Hydrocephalus
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

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title = "Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve",
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.",
keywords = "Cervical myelopathy, Hydrocephalus, Ventriculoperitoneal shunt",
author = "Kota Sato and Toru Yamashita and Keichiro Tsunoda and Mami Takemoto and Nozomi Hishikawa and Jinwei Shang and Yasuyuki Ohta and Ken Kuwahara and Takao Yasuhara and Isao Date and Koji Abe",
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T1 - Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve

AU - Sato, Kota

AU - Yamashita, Toru

AU - Tsunoda, Keichiro

AU - Takemoto, Mami

AU - Hishikawa, Nozomi

AU - Shang, Jinwei

AU - Ohta, Yasuyuki

AU - Kuwahara, Ken

AU - Yasuhara, Takao

AU - Date, Isao

AU - Abe, Koji

PY - 2018/12/1

Y1 - 2018/12/1

N2 - 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.

AB - 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.

KW - Cervical myelopathy

KW - Hydrocephalus

KW - Ventriculoperitoneal shunt

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