TITLE:
Fluoroscopy Neuro-Guided Endoscopic Removal of a Lost Ventricular Catheter in Hydrocephalic Girl with Staphylococcal Shunt Infection
AUTHORS:
Leszek Herbowski, Regina Szydłowska, Józef Rudnicki, Aleksandra Harat, Leszek Sagan
KEYWORDS:
Hydrocephalus; Ventricular Catheter; Catheter Migration; Shunt Infection; Fluoroscopy-Assisted Endoscopy; Shunt Removal
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.2 No.3,
July
19,
2012
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.