ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2009
Endoscopic management of brainstem injury due to ventriculoperitoneal shunt placement.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The Feasibility, Accuracy and Safety of Robot-Assisted Ventriculoperitoneal Shunt.Journal of Korean Neurosurgical Society · 2026Article
- Bilateral abducens and facial nerve palsies following fourth ventriculoperitoneal shunt with laparoscopic-assisted abdominal catheter placement.Brain & spine · 2024Article
- Systemic Review: Neurological Deficits following Ventriculoperitoneal Shunt (VPS) Insertion.Asian journal of neurosurgery · 2023Review
- The Clinical Application of Robot-Assisted Ventriculoperitoneal Shunting in the Treatment of Hydrocephalus.Frontiers in neuroscience · 2021Article
- Individualized ventricular access using multi-plane brain images.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2011Article
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Authors and funding
4 authors.
Funding
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Abstract
introductionWe report a patient who suffered from brainstem injury following ventriculoperitoneal (VP) shunt placement in the fourth ventricle. DISCUSSION: A 20-year-old man with complex hydrocephalus and trapped fourth ventricle underwent a suboccipital placement of a VP shunt. Postprocedure patient developed double vision. Magnetic resonance imaging showed that the catheter was penetrating the dorsal brainstem at the level of the pontomedullary junction. Patient was referred to our Neuroendoscopic Clinic. Physical exam demonstrated pure right VI cranial nerve palsy. Patient underwent flexible endoscopic exploration of the ventricular system. Some of the endoscopic findings were severe aqueductal stenosis and brainstem injury from the catheter. Aqueductoplasty, transaqueductal approach into the fourth ventricle, and endoscopic repositioning of the catheter were some of the procedures performed. Patient recovered full neurological function. The combination of endoscopic exploration and shunt is a good alternative for patients with complex hydrocephalus. A transaqueductal approach to the fourth ventricle with flexible scope is an alternative for fourth ventricle pathology.
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