Total Intracranial Migration of VP shunt - A Case Report

DM Arman; Sheikh Muhammad Ekramullah; Sudipta Kumer Mukherjee; Joynul Islam; Mirza Hafizur Rashid; MA Salam; Kazi Nur Asfia; Md Jahangir Hossain

doi:10.3329/bjns.v9i2.44895

DM Arman Assistant Professor. Clinical Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
Sheikh Muhammad Ekramullah Professor and Head, Paediatric Neurosurgery National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
Sudipta Kumer Mukherjee Assistant Prof. Paediatric Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
Joynul Islam Associate Professor, Clinical Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
Mirza Hafizur Rashid Professor of Clinical Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
MA Salam Associate Professor, Neurotrauma, , National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
Kazi Nur Asfia Assistant Prof. Neuroanaesthesia, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
Md Jahangir Hossain Professor and Former Head, Neuroanaesthesia, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh

DOI: https://doi.org/10.3329/bjns.v9i2.44895

Keywords: VP shunt, intrcraial migration, subgaleal collection

Abstract

Ventriculoperitoneal (VP) shunt is a common procedure performed for treatinghydrocephalus. Recently, endoscopy has been used in selected cases. Proximalmigration of VP shunt is a rare complication. Complete intracranial migration of VPshunt is very rare with very few cases reported in literature. We report a case ofcomplete intracranial migration of a VP shunt which was endoscopically retrieved.The possible mechanisms causing this very uncommon complication and themanagement are explained.

Bang. J Neurosurgery 2020; 9(2): 168-172

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