Fluoroscopy Neuro-Guided Endoscopic Removal of a Lost Ventricular Catheter in Hydrocephalic Girl with Staphylococcal Shunt Infection

Leszek Herbowski, Regina Szydłowska, Józef Rudnicki, Aleksandra Harat, Leszek Sagan

Department of Neurosurgery, Pomeranian Medical University, Szczecin, Poland.
Department of Pediatrics, Public Provincial Hospital, Szczecin, Poland.
Neurosurgery Department, Public Provincial Hospital, Szczecin, Poland.
Nicolaus Copernicus University, Ludwik Rydygier Collegium Medicum, Bydgoszcz, Poland.

DOI: 10.4236/ojmn.2012.23010                

Abstract

In the text, the authors present a successful treatment of an 8-year-old hydrocephalic girl with retained infected ventricular catheter. Altogether, there have been 56 recorded cases of intraventricular catheter migration, including only 5 of infected shunt. In the case described, the first attempt to remove the lost catheter endoscopically was unsuccessful which was the reason for an inflammation’s spread. Only by means of fluoroscopy-assisted endoscopy was it possible to remove the free-floating infected shunt drain from the lateral ventricle during another surgery. In order to prevent immediate or delayed infection complications, the authors postulate a complete removal of a retained ventricular catheter from every patient.

Keywords

Hydrocephalus; Ventricular Catheter; Catheter Migration; Shunt Infection; Fluoroscopy-Assisted Endoscopy; Shunt Removal

Conflicts of Interest

The authors declare no conflicts of interest.

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