Evidence map›Paper›PMID 40266359›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025

A pediatric case of upward migration of distal shunt catheter followed by outward migration of ventricular catheter.

Keisuke Murofushi, Satoshi Tsutsumi, Natsuki Sugiyama, Hideaki Ueno, Hidehiro Okura, Hisato Ishii

Abstract readCase Reports
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In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Keisuke MurofushiDepartments of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan.
Satoshi TsutsumiDepartments of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan. shotaro@juntendo-urayasu.jp.
Natsuki SugiyamaDepartments of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan.
Hideaki UenoDepartments of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan.
Hidehiro OkuraDepartments of Neurological Surgery, Shinmatsudo Central General Hospital, Matsudo, Chiba, Japan.
Hisato IshiiDepartments of Neurological Surgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCatheter migration and coiling are rare complications of ventriculoperitoneal shunt (VPS). CASE REPORT: A 4-month-old girl presented with poor feeding and vomiting. At presentation, the patient showed sunset phenomenon and tense fontanelles. Magnetic resonance imaging revealed tetraventricular dilation.

resultsThe patient underwent right VPS and was discharged on postoperative day (POD) 8. She visited hospital 33 days later, with considerable swelling in the right frontoparietal region. Radiography revealed upward VPS catheter migration and coiling. The patient underwent shunt revision and was discharged on POD 8. However, 12 days later, she returned to hospital with frequent vomiting. Neuroimaging revealed an outward migration of the ventricular catheter. The patient underwent shunt revision again, which was complicated by meningitis. After resolution of it, a left VPS was installed.

conclusionsVPS catheters installed in loose pediatric connective tissues are influenced by many factors that may cause an unexpected catheter migration.

Indexed as

CathetersForeign-Body MigrationVentriculoperitoneal ShuntFemaleHumansHydrocephalusInfantMagnetic Resonance ImagingCoiling and extrusionComplicationsPediatric hydrocephalusVentriculoperitoneal shunt

Identifiers

PMID40266359

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.